Carol, Hallie Anne
Carol, Hallie Anne is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Carol, Hallie Anne can be contacted via phone (215) 590-7180.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (215) 590-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | MT224869 | Pennsylvania |
Profile Details
| NPI number | 1013476142 |
|---|---|
| LBN Legal business name | Carol, Hallie Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Jun 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013476142 | NPPES |
| Pennsylvania | Other | MD478487 | MEDICAL PHYSICIAN AND SURGEON LISENCE |
| Pennsylvania | Other | MT224869 | MEDICAL PHYSICIAN AND SURGEON LISENCE |
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