Hall, Bethany S

Hall, Bethany S is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hall, Bethany S can be contacted via phone (248) 964-5000.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Phone: (248) 964-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3006569 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006569 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704290976 Michigan

Profile Details

NPI number 1871814848
LBN Legal business name Hall, Bethany S
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated Feb 3rd, 2022 - about 2 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 1871814848 NPPES
Kentucky MEDICAID 7100132120
Kentucky MEDICAID 201000330

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