Hall, Roy Bruce

Hall, Roy Bruce is an individual health care provider with primary practice located at 1500 Ross Clark Cir , Dothan AL 36301-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hall, Roy Bruce can be contacted via phone (334) 793-2663.

Contact Information

Primary practice address
1500 Ross Clark Cir Dothan AL 36301-4754
Fax: (334) 836-2247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9755 Alabama

Profile Details

NPI number 1881695427
LBN Legal business name Hall, Roy Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Nov 20th, 2014 - about 10 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 1881695427 NPPES
Alabama MEDICAID 121531
Alabama MEDICAID 009956265
Alabama MEDICAID 000303234B
Alabama MEDICAID 000303234D
Alabama Other 511-08271
Alabama Other 515-21692

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