Hall, Andrew Michael
Hall, Andrew Michael is an sole proprietor health care provider with primary practice located at 6064 S Fort Apache Rd Ste 100 , Las Vegas NV 89148-5350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Hall, Andrew Michael can be contacted via phone (702) 940-8007.Contact Information
Primary practice address
6064 S Fort Apache Rd Ste 100
Las Vegas NV 89148-5350
Phone: (702) 940-8007
Fax: (702) 832-1940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 16513 | Nevada |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 16513 | Nevada |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | A136824 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 16513 | Nevada |
Profile Details
| NPI number | 1366737421 |
|---|---|
| LBN Legal business name | Hall, Andrew Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2011 |
| Last updated | Apr 18th, 2024 - about 5 months 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 | 1366737421 | NPPES |
| Nevada | MEDICAID | 1366737421 |
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