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
Phone: (218) 829-2861
Fax: (218) 828-7510
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548230444 | NPPES |
Minnesota | Other | 23541 | LICENSE NUMBER |
Minnesota | MEDICAID | 453872200 | LICENSE NUMBER |
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