Hall, Dominick

Hall, Dominick is an sole proprietor health care provider with primary practice located at 733 Keyser Ave Ste 120 , Natchitoches LA 71457-0039. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Hall, Dominick can be contacted via phone (318) 238-4030.

Contact Information

Primary practice address
733 Keyser Ave Ste 120 Natchitoches LA 71457-0039
Fax: (318) 787-5768
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1649726407
LBN Legal business name Hall, Dominick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2016
Last updated Jan 17th, 2024 - about 11 months 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 1649726407 NPPES
Louisiana MEDICAID 1544761
Louisiana Other 1679507412

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