Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Thatcher Ballard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487591038

Jacob Thatcher Ballard is a Student in an Organized Health Care Education/Training Program in Sayre, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1 Guthrie Sq
Sayre, PA 18840-1625
Phone: (570) 888-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1487591038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address10137 W Vienna Ave, Wauwatosa, WI 53222-2352

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