Andrew Edward Ball
Technician/Technologist in Dearborn, MI. Individual provider (NPI-1).
NPI number1760051114
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1760051114
- Entity type
- Individual (NPI-1)
- Name
- Andrew Edward Ball
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | MI | Yes |
Practice location
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone 313-406-5056 · Fax 248-712-4381
Mailing address
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone 313-406-5056 · Fax 248-712-4381
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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