Hall, Calvin

Hall, Calvin is an sole proprietor health care provider with primary practice located at 3101 Rackley Dr , Tallahassee FL 32305-6737. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is his primary health care specialty. Hall, Calvin can be contacted via phone (850) 524-1556.

Contact Information

Primary practice address
3101 Rackley Dr Tallahassee FL 32305-6737
Phone: (850) 524-1556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X Florida
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Other Service Providers / Community Health Worker 172V00000X Florida

Profile Details

NPI number 1104268952
LBN Legal business name Hall, Calvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2013
Last updated Jul 22nd, 2013 - about 12 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 1104268952 NPPES
Florida MEDICAID 0032358001
Florida MEDICAID 003235800

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