Hall, Mark E

Hall, Mark E is an sole proprietor health care provider with primary practice located at 7556 Lake Worth Rd Suite 104, Lake Worth FL 33467-2503. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hall, Mark E can be contacted via phone (561) 966-5060.

Contact Information

Primary practice address
7556 Lake Worth Rd Suite 104 Lake Worth FL 33467-2503
Phone: (561) 966-5060
Fax: (561) 966-4489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P02108 Florida

Profile Details

NPI number 1104899764
LBN Legal business name Hall, Mark E
Credentials D.P.M. P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 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 1104899764 NPPES
Florida MEDICAID 057613100
Florida Other 65220
Florida Other 65-0960025
Florida Other P02108

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