Hall, Graham Charles

Hall, Graham Charles is an individual health care provider with primary practice located at 1072 N Liberty St Ste 200 , Boise ID 83704-8963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Hall, Graham Charles can be contacted via phone (208) 302-4100.

Contact Information

Primary practice address
1072 N Liberty St Ste 200 Boise ID 83704-8963
Phone: (208) 302-4100
Fax: (208) 302-4135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01080885A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 47390 Kentucky
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M-15928 Idaho

Profile Details

NPI number 1730317090
LBN Legal business name Hall, Graham Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jul 18th, 2023 - about 2 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 1730317090 NPPES
Kentucky MEDICAID 7100142170
Kentucky MEDICAID 300018084

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