Hall, Douglas

Hall, Douglas is an individual health care provider with primary practice located at 1150 E Sherman Blvd Suite 1125, Muskegon MI 49444-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Hall, Douglas can be contacted via phone (231) 672-6740.

Contact Information

Primary practice address
1150 E Sherman Blvd Suite 1125 Muskegon MI 49444-1871
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301065628 Michigan

Profile Details

NPI number 1871570531
LBN Legal business name Hall, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Aug 16th, 2016 - about 9 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 1871570531 NPPES
Michigan MEDICAID 4287772

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