Hall, Mark

Hall, Mark is an individual health care provider with primary practice located at 100 Michigan Ne , Grand Rapids MI 49503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Hall, Mark can be contacted via phone (616) 391-1680.

Contact Information

Primary practice address
100 Michigan Ne Grand Rapids MI 49503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301406799 Michigan

Profile Details

NPI number 1760405930
LBN Legal business name Hall, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760405930 NPPES
Michigan Other 930078864 RAILROAD MEDICARE

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