Hall, Mitchell Glen

Hall, Mitchell Glen is an individual health care provider with primary practice located at 6600 E 2Nd St Ste A , Casper WY 82609-4348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hall, Mitchell Glen can be contacted via phone (307) 333-4363.

Contact Information

Primary practice address
6600 E 2Nd St Ste A Casper WY 82609-4348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PT956 Wyoming

Profile Details

NPI number 1164194593
LBN Legal business name Hall, Mitchell Glen
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2021
Last updated Sep 7th, 2022 - about 4 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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