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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205825544 | NPPES |
| North Carolina | MEDICAID | 6000513 |
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