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
Phone: (812) 948-1641
Fax: (812) 941-0438
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083614416 | NPPES |
Indiana | MEDICAID | 100115500A | |
Indiana | Other | 000000042312 | |
Indiana | Other | 351359575 | |
Indiana | Other | I001704 | |
Indiana | Other | 35135957500 |
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