MATTHEW BALLARD
NPI 1366022766
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 09, 2021

18701 N 67TH AVE, GLENDALE, AZ 85308(503) 580-1898 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2021, Apr 9, 2021 (2 updates tracked since 2021).

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About Matthew Ballard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BALLARD (NPI 1366022766) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1366022766

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW BALLARD

Location Address18701 N 67TH AVEGlendale, AZ 85308-7100

Mailing Address1937 N 1640 WProvo, UT 84604-5626 · (503) 580-1898

Phone(503) 580-1898

Sole ProprietorYes

Enumeration DateApril 9, 2021

Last NPPES UpdateMay 17, 20212 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1366022766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

18701 N 67TH AVE, Glendale, AZ 85308

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