Hall, Ernest Gene

Hall, Ernest Gene is an individual health care provider with primary practice located at 641 Lorraine Ave , Waukegan IL 60085-3645. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hall, Ernest Gene can be contacted via phone (847) 336-2777.

Contact Information

Primary practice address
641 Lorraine Ave Waukegan IL 60085-3645
Phone: (847) 336-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3234125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1730111865
LBN Legal business name Hall, Ernest Gene
Credentials D.MIN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730111865 NPPES
Wisconsin MEDICAID 43593800

Popular Providers