Hall, Allie M
Hall, Allie M is an individual health care provider with primary practice located at 4900 Cox Rd Ste 150, Glen Allen VA 23060-6507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hall, Allie M can be contacted via phone (804) 346-1780.Contact Information
Primary practice address
4900 Cox Rd Ste 150
Glen Allen VA 23060-6507
Phone: (804) 346-1780
Fax: (804) 346-1781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1983 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110004981 | Virginia |
Profile Details
| NPI number | 1760819288 |
|---|---|
| LBN Legal business name | Hall, Allie M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2013 |
| Last updated | Jan 29th, 2018 - about 7 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 | 1760819288 | NPPES |
| South Carolina | Other | P01302511 | RR MEDICARE |
| South Carolina | MEDICAID | 1728PA | RR MEDICARE |
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