Hall, Audrey Mae
Hall, Audrey Mae is an individual health care provider with primary practice located at 4105 Briargate Pkwy Suite #125, Colorado Springs CO 80920-3480. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hall, Audrey Mae can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
4105 Briargate Pkwy Suite #125
Colorado Springs CO 80920-3480
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41525 | Colorado |
Profile Details
| NPI number | 1033186259 |
|---|---|
| LBN Legal business name | Hall, Audrey Mae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Mar 29th, 2021 - 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 | 1033186259 | NPPES |
| Colorado | Other | 025339 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 33436517 | KAISER COMMERCIAL NUMBER |
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