Hall, Heather Anne
Hall, Heather Anne is an sole proprietor health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Hall, Heather Anne can be contacted via phone (815) 971-2248.Contact Information
Primary practice address
2350 N Rockton Ave
Rockford IL 61103-3600
Phone: (815) 971-2248
Fax: (815) 971-9097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036.123091 | Illinois |
Profile Details
| NPI number | 1346468105 |
|---|---|
| LBN Legal business name | Hall, Heather Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Apr 29th, 2021 - about 3 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 | 1346468105 | NPPES |
| Illinois | Other | 036123091 | STATE LICENSE |
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