Hall, John Wesley

Hall, John Wesley is an sole proprietor health care provider with primary practice located at 2157 Mcclintock Rd , Charlotte NC 28205-5141. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hall, John Wesley can be contacted via phone (704) 258-5553.

Contact Information

Primary practice address
2157 Mcclintock Rd Charlotte NC 28205-5141
Phone: (704) 258-5553
Fax: (704) 344-0078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 2457 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2457 North Carolina

Profile Details

NPI number 1205825544
LBN Legal business name Hall, John Wesley
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Dec 5th, 2022 - about 2 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 1205825544 NPPES
North Carolina MEDICAID 6000513

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