Hall, Mederic Micah

Hall, Mederic Micah is an individual health care provider with primary practice located at 2701 Prairie Meadow Dr , Iowa City IA 52242-8001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hall, Mederic Micah can be contacted via phone (319) 467-8059.

Contact Information

Primary practice address
2701 Prairie Meadow Dr Iowa City IA 52242-8001
Phone: (319) 467-8059
Fax: (319) 384-9305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 49735 Minnesota
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 38299 Iowa
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 38299 Iowa

Profile Details

NPI number 1093836728
LBN Legal business name Hall, Mederic Micah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Mar 26th, 2014 - about 10 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 1093836728 NPPES
Minnesota MEDICAID 718425000

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