Hall, Jill K
Hall, Jill K is an individual health care provider with primary practice located at 12303 De Paul Dr , Bridgeton MO 63044-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hall, Jill K can be contacted via phone (314) 344-7049.Contact Information
Primary practice address
12303 De Paul Dr
Bridgeton MO 63044-2512
Phone: (314) 344-7049
Fax: (314) 344-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2003017892 | Missouri |
Profile Details
| NPI number | 1639389216 |
|---|---|
| LBN Legal business name | Hall, Jill K |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639389216 | NPPES |
| Missouri | MEDICAID | PENDING |
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