Hall, Timothy R

Hall, Timothy R is an individual health care provider with primary practice located at 7554 15Th Ave Nw Ballard Pediatric Clinic, Seattle WA 98117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hall, Timothy R can be contacted via phone (206) 783-9300.

Contact Information

Primary practice address
7554 15Th Ave Nw Ballard Pediatric Clinic Seattle WA 98117
Phone: (206) 783-9300
Fax: (206) 588-0531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200100885 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60217406 Washington

Profile Details

NPI number 1275539660
LBN Legal business name Hall, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 7th, 2013 - about 11 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 1275539660 NPPES
North Carolina MEDICAID 891297T

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