Hall, Gregory Bruno

Hall, Gregory Bruno is an sole proprietor health care provider with primary practice located at 150 Fairview Rd Suite 300, Mooresville NC 28117-9504. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hall, Gregory Bruno can be contacted via phone (704) 664-6677.

Contact Information

Primary practice address
150 Fairview Rd Suite 300 Mooresville NC 28117-9504
Fax: (704) 663-1009
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9600335 North Carolina

Profile Details

NPI number 1710970025
LBN Legal business name Hall, Gregory Bruno
Credentials MD FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Sep 24th, 2010 - about 14 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 1710970025 NPPES
North Carolina MEDICAID 8938320

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