Liddell, Hal T
Liddell, Hal T is an individual health care provider with primary practice located at 139 Fairfield Dr , Hattiesburg MS 39402-1303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Liddell, Hal T can be contacted via phone (601) 450-2401.Contact Information
Primary practice address
139 Fairfield Dr
Hattiesburg MS 39402-1303
Phone: (601) 450-2401
Fax: (601) 450-2433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 09147 | Mississippi |
Profile Details
| NPI number | 1023032497 |
|---|---|
| LBN Legal business name | Liddell, Hal T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Oct 4th, 2016 - about 8 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 | 1023032497 | NPPES |
| Mississippi | MEDICAID | 1023032497 | |
| Mississippi | Other | 509218YTSR |
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