Hallam, Michael Gerard

Hallam, Michael Gerard is an individual health care provider with primary practice located at 334 W Main St , Decatur IL 62522-2406. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Hallam, Michael Gerard can be contacted via phone (217) 428-0003.

Contact Information

Primary practice address
334 W Main St Decatur IL 62522-2406
Phone: (217) 428-0003
Fax: (217) 428-0022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X Illinois

Profile Details

NPI number 1972658037
LBN Legal business name Hallam, Michael Gerard
Credentials DMD MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 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.

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