Hallal, Eli R

Hallal, Eli R is an sole proprietor health care provider with primary practice located at 1964 State St Suite 100, New Albany IN 47150-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hallal, Eli R can be contacted via phone (812) 948-1641.

Contact Information

Primary practice address
1964 State St Suite 100 New Albany IN 47150-4934
Fax: (812) 941-0438
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01025361A Indiana

Profile Details

NPI number 1083614416
LBN Legal business name Hallal, Eli R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Mar 15th, 2011 - about 14 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 1083614416 NPPES
Indiana MEDICAID 100115500A
Indiana Other 000000042312
Indiana Other 351359575
Indiana Other I001704
Indiana Other 35135957500

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