Hall, Tina

Hall, Tina is an individual health care provider with primary practice located at 4107 S Water Tower Pl , Mount Vernon IL 62864-6293. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hall, Tina can be contacted via phone (618) 244-0031.

Contact Information

Primary practice address
4107 S Water Tower Pl Mount Vernon IL 62864-6293
Phone: (618) 244-0031
Fax: (618) 244-0056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.018461 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.394076 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 209018461 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209018461 Illinois

Profile Details

NPI number 1578039707
LBN Legal business name Hall, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2018
Last updated Nov 7th, 2019 - about 6 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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