Hall, Timothy Allen

Hall, Timothy Allen is an individual health care provider with primary practice located at 19550 E 39Th St S Ste 300, Independence MO 64057-2303. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Hall, Timothy Allen can be contacted via phone (816) 478-0220.

Contact Information

Primary practice address
19550 E 39Th St S Ste 300 Independence MO 64057-2303
Phone: (816) 478-0220
Fax: (816) 795-3456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 102134 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 102134 Missouri

Profile Details

NPI number 1114921061
LBN Legal business name Hall, Timothy Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Apr 25th, 2022 - about 2 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 1114921061 NPPES
Missouri MEDICAID 203558218

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