Hall, Clifton R.

Hall, Clifton R. is an individual health care provider with primary practice located at 3998 Red Lion Rd , Philadelphia PA 19114-1436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hall, Clifton R. can be contacted via phone (215) 612-4000.

Contact Information

Primary practice address
3998 Red Lion Rd Philadelphia PA 19114-1436
Phone: (215) 612-4000
Fax: (215) 807-8235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD032888E Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD032888E Pennsylvania

Profile Details

NPI number 1497775589
LBN Legal business name Hall, Clifton R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 12th, 2007 - about 19 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 1497775589 NPPES
Pennsylvania MEDICAID 0011596610002
Pennsylvania Other 1244467
Pennsylvania Other 154364
Pennsylvania Other 154365
Pennsylvania Other 01697
Pennsylvania Other 0176915000
Pennsylvania MEDICAID 0011596610001
Pennsylvania Other 01159661-04
Pennsylvania Other 3056444
Pennsylvania MEDICAID 0011596610006
Pennsylvania Other 0469021
Pennsylvania Other 30567
Pennsylvania Other 30563
Pennsylvania Other 01159661-05
Pennsylvania Other 30002955
Pennsylvania Other 01159661-03

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