Hall, John Wayne
Hall, John Wayne is an individual health care provider with primary practice located at 67 Creekside Park Ct , Greenville SC 29615-4810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hall, John Wayne can be contacted via phone (864) 242-4602.Contact Information
Primary practice address
67 Creekside Park Ct
Greenville SC 29615-4810
Phone: (864) 242-4602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 266626 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 26626 | Alabama |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 37034 | South Carolina |
Profile Details
| NPI number | 1083678411 |
|---|---|
| LBN Legal business name | Hall, John Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Dec 5th, 2014 - about 10 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 | 1083678411 | NPPES |
| Alabama | MEDICAID | 051556471 | |
| Alabama | Other | 1083678411 | |
| Alabama | Other | 51002019 | |
| Alabama | MEDICAID | 554738662A | |
| Alabama | Other | P00241498 |
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