Hall, Myra Jane
Hall, Myra Jane is an sole proprietor health care provider with primary practice located at 210 Magnolia Square Court , Aberdeen NC 28315-2226. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hall, Myra Jane can be contacted via phone (910) 944-0779.Contact Information
Primary practice address
210 Magnolia Square Court
Aberdeen NC 28315-2226
Phone: (910) 944-0779
Fax: (910) 944-2298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Medical Genetics, Ph.D. Medical Genetics | 170100000X | 36463 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22874 | North Carolina |
Profile Details
| NPI number | 1811991342 |
|---|---|
| LBN Legal business name | Hall, Myra Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | May 4th, 2011 - about 13 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 | 1811991342 | NPPES |
| North Carolina | MEDICAID | 8911477 |
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