Provider Demographics
NPI:1447807904
Name:BALL, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 STEMEN RD NW
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43105-9349
Mailing Address - Country:US
Mailing Address - Phone:740-808-0396
Mailing Address - Fax:
Practice Address - Street 1:82 E. CANAL ST.
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112
Practice Address - Country:US
Practice Address - Phone:740-756-4589
Practice Address - Fax:740-756-4876
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH025299363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner