Hall, Matthew

Hall, Matthew is an individual health care provider with primary practice located at 3301 Cranberry Blvd , Weston WI 54476-5216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Hall, Matthew can be contacted via phone (715) 393-3900.

Contact Information

Primary practice address
3301 Cranberry Blvd Weston WI 54476-5216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 40331 Wisconsin

Profile Details

NPI number 1023126174
LBN Legal business name Hall, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Oct 15th, 2020 - about 5 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 1023126174 NPPES
Wisconsin MEDICAID 32593100

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