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
Phone: (318) 238-4030
Fax: (318) 787-5768
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649726407 | NPPES |
Louisiana | MEDICAID | 1544761 | |
Louisiana | Other | 1679507412 |
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