Hall, Larry C

Hall, Larry C is an individual health care provider with primary practice located at 1 Wyoming St , Dayton OH 45409-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hall, Larry C can be contacted via phone (937) 208-8000.

Contact Information

Primary practice address
1 Wyoming St Dayton OH 45409-2722
Phone: (937) 208-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34003904 Ohio

Profile Details

NPI number 1548269467
LBN Legal business name Hall, Larry C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548269467 NPPES
Ohio MEDICAID 0739713

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