Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY T. BALLHAGEN, M.D.
Active Sole ProprietorSpecialist · BOISE, ID
Registration Details
- NPI Number
- 1356589931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2009 (17.232591259185 yrs)
- Last Updated
- Feb 4, 2009
- License
-
3414 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10500 W WATERWAY CTBOISE, ID, 837143616Browse ID providers · Browse ZIP 83714
- Phone
- 2088535556
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD E. LOWRY | M.D., D.D.S., P.A. | 1992797641 |
| DR. JENNIFER G. GOTTO | M.D. | 1518941459 |
| BREK DAVID STOKER | AUD, CCC-A | 1609822402 |
| DR. SCOTT L CHRISTENSEN | MD | 1386672228 |
| RICHARD C RIPPLE JR. | M.D. | 1497861769 |
| DR. ERIC GREGORY THOMPSON | DPT | 1063514867 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.