Hall, Tom J.
Hall, Tom J. is an sole proprietor health care provider with primary practice located at 9504 Admiral Nimitz Ave Ne , Albuquerque NM 87111-1324. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Hall, Tom J. can be contacted via phone (505) 856-5191.Contact Information
Primary practice address
9504 Admiral Nimitz Ave Ne
Albuquerque NM 87111-1324
Phone: (505) 856-5191
Fax: (505) 332-9165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | I-05304 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X |
Profile Details
| NPI number | 1336293810 |
|---|---|
| LBN Legal business name | Hall, Tom J. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336293810 | NPPES |
| New Mexico | MEDICAID | 91005701 |
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