Hall, Mark A
Hall, Mark A is an sole proprietor health care provider with primary practice located at 388 Sw Bluff Dr , Bend OR 97702-1360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Hall, Mark A can be contacted via phone (541) 678-0020.Contact Information
Primary practice address
388 Sw Bluff Dr
Bend OR 97702-1360
Phone: (541) 678-0020
Fax: (541) 323-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD26648 | Oregon |
Profile Details
| NPI number | 1609815166 |
|---|---|
| LBN Legal business name | Hall, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Feb 21st, 2013 - about 11 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 | 1609815166 | NPPES |
| Oregon | MEDICAID | 241835 |
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