Hall, William Randolph
Hall, William Randolph is an individual health care provider with primary practice located at Po Box 4000 , Polacca AZ 86042-4000. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Hall, William Randolph can be contacted via phone (928) 737-6000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | RN9409374 | Florida |
Profile Details
| NPI number | 1629588462 |
|---|---|
| LBN Legal business name | Hall, William Randolph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2017 |
| Last updated | Oct 6th, 2017 - about 7 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 | 1629588462 | NPPES |
| Arizona | MEDICAID | 020529 |
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