Hale, John M

Hale, John M is an individual health care provider with primary practice located at 2845 Greenbrier Rd #430, Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hale, John M can be contacted via phone (920) 288-8400.

Contact Information

Primary practice address
2845 Greenbrier Rd #430 Green Bay WI 54311-6519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 34129 Wisconsin

Profile Details

NPI number 1518016880
LBN Legal business name Hale, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518016880 NPPES
Wisconsin MEDICAID 31919600

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