Hall, Shannon D Dale

Hall, Shannon D Dale is an individual health care provider with primary practice located at 500 College St Yale New Haven Hospital, New Haven CT 06511-8962. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hall, Shannon D Dale can be contacted via phone (203) 432-2700.

Contact Information

Primary practice address
500 College St Yale New Haven Hospital New Haven CT 06511-8962
Phone: (203) 432-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 071173 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 003790 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 20635 South Carolina

Profile Details

NPI number 1821098930
LBN Legal business name Hall, Shannon D Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 21st, 2021 - about 3 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 1821098930 NPPES
South Carolina MEDICAID PENDING
South Carolina MEDICAID 74007634
South Carolina MEDICAID 3634996
South Carolina Other 4072296

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