Hall, Clifton R.
Hall, Clifton R. is an individual health care provider with primary practice located at 3998 Red Lion Rd , Philadelphia PA 19114-1436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hall, Clifton R. can be contacted via phone (215) 612-4000.Contact Information
Primary practice address
3998 Red Lion Rd
Philadelphia PA 19114-1436
Phone: (215) 612-4000
Fax: (215) 807-8235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD032888E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD032888E | Pennsylvania |
Profile Details
| NPI number | 1497775589 |
|---|---|
| LBN Legal business name | Hall, Clifton R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 12th, 2007 - about 17 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 | 1497775589 | NPPES |
| Pennsylvania | MEDICAID | 0011596610002 | |
| Pennsylvania | Other | 1244467 | |
| Pennsylvania | Other | 154364 | |
| Pennsylvania | Other | 154365 | |
| Pennsylvania | Other | 01697 | |
| Pennsylvania | Other | 0176915000 | |
| Pennsylvania | MEDICAID | 0011596610001 | |
| Pennsylvania | Other | 01159661-04 | |
| Pennsylvania | Other | 3056444 | |
| Pennsylvania | MEDICAID | 0011596610006 | |
| Pennsylvania | Other | 0469021 | |
| Pennsylvania | Other | 30567 | |
| Pennsylvania | Other | 30563 | |
| Pennsylvania | Other | 01159661-05 | |
| Pennsylvania | Other | 30002955 | |
| Pennsylvania | Other | 01159661-03 |
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