Hall, John David

Hall, John David is an individual health care provider with primary practice located at 6809 Fairview Rd , Charlotte NC 28210-3336. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hall, John David can be contacted via phone (704) 796-4009.

Contact Information

Primary practice address
6809 Fairview Rd Charlotte NC 28210-3336
Phone: (704) 796-4009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 200500309 North Carolina
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 200500309 North Carolina
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 200500309 North Carolina

Profile Details

NPI number 1114998267
LBN Legal business name Hall, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 2nd, 2008 - about 16 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 1114998267 NPPES
North Carolina MEDICAID 5900513

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