Hall, Michael John
Hall, Michael John is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5500 , South Bend IN 46601-1172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Hall, Michael John can be contacted via phone (574) 647-5200.Contact Information
Primary practice address
100 Navarre Pl Ste 5500
South Bend IN 46601-1172
Phone: (574) 647-5200
Fax: (574) 647-5210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01063345A | Indiana |
Profile Details
| NPI number | 1093893026 |
|---|---|
| LBN Legal business name | Hall, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 30th, 2021 - about 3 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 | 1093893026 | NPPES |
| Indiana | MEDICAID | 200855240 |
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