Hallman, Gillbert Daryl

Hallman, Gillbert Daryl is an individual health care provider with primary practice located at 620 Crossover Rd , Tupelo MS 38801-4944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hallman, Gillbert Daryl can be contacted via phone (662) 620-7102.

Contact Information

Primary practice address
620 Crossover Rd Tupelo MS 38801-4944
Phone: (662) 620-7102
Fax: (662) 620-7106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35064475 Ohio

Profile Details

NPI number 1013918952
LBN Legal business name Hallman, Gillbert Daryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 15th, 2013 - about 11 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 1013918952 NPPES
Ohio MEDICAID 0902929
Ohio MEDICAID 64932718
Ohio MEDICAID 100331680A

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