Hall, Laurie
Hall, Laurie is an sole proprietor health care provider with primary practice located at 3301 N Ballard Rd Ste C , Appleton WI 54911-9002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hall, Laurie can be contacted via phone (920) 202-3954.Contact Information
Primary practice address
3301 N Ballard Rd Ste C
Appleton WI 54911-9002
Phone: (920) 202-3954
Fax: (920) 202-3964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2719-057 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 613 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 15823 | New York |
Profile Details
| NPI number | 1407989791 |
|---|---|
| LBN Legal business name | Hall, Laurie |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Nov 18th, 2010 - about 14 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 | 1407989791 | NPPES |
| Wisconsin | MEDICAID | 1407989791 |
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