Hall, Jeanne M

Hall, Jeanne M is an sole proprietor health care provider with primary practice located at 3190 S Wadsworth Blvd Ste 250 , Lakewood CO 80227-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hall, Jeanne M can be contacted via phone (303) 904-0976.

Contact Information

Primary practice address
3190 S Wadsworth Blvd Ste 250 Lakewood CO 80227-4800
Fax: (303) 948-5318
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01061001A Indiana

Profile Details

NPI number 1588625511
LBN Legal business name Hall, Jeanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588625511 NPPES
Indiana MEDICAID 200526580A

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