Hall, Ricky

Hall, Ricky is an individual health care provider with primary practice located at 5205 Bobby Hicks Hwy Suite 2, Gray TN 37615-6215. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Hall, Ricky can be contacted via phone (423) 477-9090.

Contact Information

Primary practice address
5205 Bobby Hicks Hwy Suite 2 Gray TN 37615-6215
Phone: (423) 477-9090
Fax: (423) 477-0090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X DC1880 Tennessee

Profile Details

NPI number 1508979337
LBN Legal business name Hall, Ricky
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1508979337 NPPES
Tennessee MEDICAID 3972926

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