Dr. Jonathan R. Ballard, MD
Family Medicine in Concord, NH. Individual provider (NPI-1).
NPI number1972731214
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1972731214
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan R. Ballard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2009
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 15614 | NH | Yes |
| 207Q00000X | Family Medicine | 44996 | KY | |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | 15614 | NH | |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | 44996 | KY |
Practice location
129 Pleasant StConcord, NH 03301-3852
Phone 603-271-7350
Mailing address
129 Pleasant StConcord, NH 03301-3852
Phone 603-271-7350
Other practice locations
250 Pleasant St
Concord, NH 03301-7539
Concord, NH 03301-7539
Phone 603-228-7200 · Fax 603-227-7562
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