Hall, Elisa R
Hall, Elisa R is an individual health care provider with primary practice located at 2450 S Telshor Blvd , Las Cruces NM 88011-5069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Hall, Elisa R can be contacted via phone (505) 521-2203.Contact Information
Primary practice address
2450 S Telshor Blvd
Las Cruces NM 88011-5069
Phone: (505) 521-2203
Fax: (505) 521-5558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | NM9461 | New Mexico |
Profile Details
| NPI number | 1255368734 |
|---|---|
| LBN Legal business name | Hall, Elisa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1255368734 | NPPES |
| New Mexico | MEDICAID | 0000V9188 |
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