Hall, Miss Wednesday
Hall, Miss Wednesday is an individual health care provider with primary practice located at 1819 E Big Beaver Rd Suite 210, Troy MI 48083-2015. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Hall, Miss Wednesday can be contacted via phone (248) 680-9000.Contact Information
Primary practice address
1819 E Big Beaver Rd Suite 210
Troy MI 48083-2015
Phone: (248) 680-9000
Fax: (248) 680-2929
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 5101020142 | Michigan |
Profile Details
NPI number | 1154582112 |
---|---|
LBN Legal business name | Hall, Miss Wednesday |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2008 |
Last updated | Jun 11th, 2013 - about 12 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 | 1154582112 | NPPES |
Michigan | Other | 5101020142 | LICENSE |
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