Hall, Jonathan R

Hall, Jonathan R is an individual health care provider with primary practice located at 725 S College Ave , Bluefield VA 24605-1640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hall, Jonathan R can be contacted via phone (276) 326-3376.

Contact Information

Primary practice address
725 S College Ave Bluefield VA 24605-1640
Phone: (276) 326-3376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102204981 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3129 West Virginia

Profile Details

NPI number 1881013118
LBN Legal business name Hall, Jonathan R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Apr 8th, 2022 - about 4 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 1881013118 NPPES
Virginia MEDICAID VVP630C113

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