Hall, Leola E

Hall, Leola E is an individual health care provider with primary practice located at 2170 W Ironwood Center Dr Suite B, Coeur D Alene ID 83814-2606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hall, Leola E can be contacted via phone (208) 667-1988.

Contact Information

Primary practice address
2170 W Ironwood Center Dr Suite B Coeur D Alene ID 83814-2606
Phone: (208) 667-1988
Fax: (208) 765-5654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT716 Idaho

Profile Details

NPI number 1316008220
LBN Legal business name Hall, Leola E
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 14th, 2011 - about 15 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 1316008220 NPPES
Idaho MEDICAID 804190200

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