Hall, Craig Z.

Hall, Craig Z. is an sole proprietor health care provider with primary practice located at 1660 John Adams Pkwy , Idaho Falls ID 83401-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hall, Craig Z. can be contacted via phone (208) 523-8844.

Contact Information

Primary practice address
1660 John Adams Pkwy Idaho Falls ID 83401-4360
Phone: (208) 523-8844
Fax: (208) 529-8684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M5058 Idaho

Profile Details

NPI number 1003979352
LBN Legal business name Hall, Craig Z.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003979352 NPPES
Idaho Other 000010005741 BLUE SHIELD OF IDAHO
Idaho Other 50583 BLUE SHIELD OF IDAHO
Idaho MEDICAID 003742900 BLUE SHIELD OF IDAHO

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