Hall, Mary Jean

Hall, Mary Jean is an individual health care provider with primary practice located at 1000 Mon Health Medical Park Dr Suite 1100, Morgantown WV 26505-1104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Hall, Mary Jean can be contacted via phone (304) 599-1448.

Contact Information

Primary practice address
1000 Mon Health Medical Park Dr Suite 1100 Morgantown WV 26505-1104
Phone: (304) 599-1448
Fax: (304) 598-7219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20379 West Virginia

Profile Details

NPI number 1265506448
LBN Legal business name Hall, Mary Jean
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Dec 14th, 2016 - about 9 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 1265506448 NPPES
Other 001712123 BCBS
MEDICAID 2004673000 BCBS
Other P01617603 BCBS

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