Hall, J Frederick

Hall, J Frederick is an individual health care provider with primary practice located at 523 N 3Rd St , Brainerd MN 56401-3054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hall, J Frederick can be contacted via phone (218) 829-2861.

Contact Information

Primary practice address
523 N 3Rd St Brainerd MN 56401-3054
Fax: (218) 828-7510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23541 Minnesota

Profile Details

NPI number 1548230444
LBN Legal business name Hall, J Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 8th, 2016 - about 9 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 1548230444 NPPES
Minnesota Other 23541 LICENSE NUMBER
Minnesota MEDICAID 453872200 LICENSE NUMBER

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