Hall, Otto Christian

Hall, Otto Christian is an sole proprietor health care provider with primary practice located at 7301 Hennessy Blvd #200, Baton Rouge LA 70808. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Hall, Otto Christian can be contacted via phone (225) 766-0050.

Contact Information

Primary practice address
7301 Hennessy Blvd #200 Baton Rouge LA 70808
Phone: (225) 766-0050
Fax: (225) 766-1499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X LPD027R Louisiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPMLPD027R Louisiana

Profile Details

NPI number 1679579759
LBN Legal business name Hall, Otto Christian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Feb 10th, 2014 - about 11 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 1679579759 NPPES
Louisiana Other 06461 BLUE CROSS / BLUE SHEILD
Louisiana MEDICAID 1365661 BLUE CROSS / BLUE SHEILD
Louisiana MEDICAID 13656612 BLUE CROSS / BLUE SHEILD

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