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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1114915402 NPPES
Texas MEDICAID 0325318-01

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