Hall, Timothy Wayne

Hall, Timothy Wayne is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hall, Timothy Wayne can be contacted via phone (616) 252-7200.

Contact Information

Primary practice address
5900 Byron Center Ave Sw Wyoming MI 49519-9606
Phone: (616) 252-7200
Fax: (616) 252-7830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704199433 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704199433 Michigan

Profile Details

NPI number 1154761336
LBN Legal business name Hall, Timothy Wayne
Credentials AGACNP-BC, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Mar 7th, 2023 - 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 1154761336 NPPES
Michigan MEDICAID 1154761336

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