Hallgren, Sally Ann
Hallgren, Sally Ann is an sole proprietor health care provider with primary practice located at 311 University Dr , Fort Worth TX 76107-1924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Hallgren, Sally Ann can be contacted via phone (817) 877-4787.Contact Information
Primary practice address
311 University Dr
Fort Worth TX 76107-1924
Phone: (817) 877-4787
Fax: (817) 877-1654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E9484 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | E9484 | Texas |
Profile Details
| NPI number | 1114915402 |
|---|---|
| LBN Legal business name | Hallgren, Sally Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Feb 22nd, 2012 - about 12 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 | 1114915402 | NPPES |
| Texas | MEDICAID | 0325318-01 |
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