Hale, Carla Jo

Hale, Carla Jo is an individual health care provider with primary practice located at 310 N L Rogers Wells Blvd , Glasgow KY 42141-1300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hale, Carla Jo can be contacted via phone (270) 659-5885.

Contact Information

Primary practice address
310 N L Rogers Wells Blvd Glasgow KY 42141-1300
Fax: (270) 659-5852
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA325 Kentucky

Profile Details

NPI number 1154315430
LBN Legal business name Hale, Carla Jo
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Mar 1st, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154315430 NPPES
Kentucky MEDICAID 9500246500

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