Hall, Shelly Marie

Hall, Shelly Marie is an individual health care provider with primary practice located at 30 -7Th St. W, Door A , Dickinson ND 58601-4335. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hall, Shelly Marie can be contacted via phone (701) 483-0230.

Contact Information

Primary practice address
30 -7Th St. W, Door A Dickinson ND 58601-4335
Phone: (701) 483-0230
Fax: (701) 483-0231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 382 North Dakota

Profile Details

NPI number 1336115435
LBN Legal business name Hall, Shelly Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 19th, 2020 - about 4 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 1336115435 NPPES
North Dakota Other 26241 BLUE CROSS/BLUE SHIELD
North Dakota MEDICAID 1454557 BLUE CROSS/BLUE SHIELD

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