Hall, Michael M

Hall, Michael M is an individual health care provider with primary practice located at 145 Hospital Ave Ste 104, Du Bois PA 15801-1463. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hall, Michael M can be contacted via phone (814) 375-8055.

Contact Information

Primary practice address
145 Hospital Ave Ste 104 Du Bois PA 15801-1463
Phone: (814) 375-8055
Fax: (814) 375-8056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD036517E Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD036517E Pennsylvania

Profile Details

NPI number 1780688366
LBN Legal business name Hall, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Nov 13th, 2019 - 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 1780688366 NPPES
Pennsylvania MEDICAID 001132739
Pennsylvania Other 591707Q09
Pennsylvania Other 852695FFU

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