Hall, Christopher Charles
Hall, Christopher Charles is an individual health care provider with primary practice located at 2235 Cleveland Rd , South Bend IN 46628-3529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hall, Christopher Charles can be contacted via phone (574) 647-4530.Contact Information
Primary practice address
2235 Cleveland Rd
South Bend IN 46628-3529
Phone: (574) 647-4530
Fax: (574) 647-2285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01054535A | Indiana |
Profile Details
| NPI number | 1750379871 |
|---|---|
| LBN Legal business name | Hall, Christopher Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Mar 30th, 2021 - about 5 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 | 1750379871 | NPPES |
| Indiana | MEDICAID | 200419110 |
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