Hall, Breyanna

Hall, Breyanna is an individual health care provider with primary practice located at 6771 Stanhope Way , Indianapolis IN 46254-9570. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Hall, Breyanna can be contacted via phone (317) 209-7564.

Contact Information

Primary practice address
6771 Stanhope Way Indianapolis IN 46254-9570
Fax: (317) 377-4139
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1629616099
LBN Legal business name Hall, Breyanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2019
Last updated Dec 17th, 2019 - about 6 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 1629616099 NPPES
Indiana MEDICAID 300031995

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