Hall, Mary Jane

Hall, Mary Jane is an individual health care provider with primary practice located at 971 11Th Ave , Longview WA 98632-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hall, Mary Jane can be contacted via phone (360) 577-1771.

Contact Information

Primary practice address
971 11Th Ave Longview WA 98632-2503
Fax: (360) 423-1405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AP30001925 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RN00097178 Washington

Profile Details

NPI number 1245279587
LBN Legal business name Hall, Mary Jane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 26th, 2012 - about 14 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 1245279587 NPPES
Washington MEDICAID 9605767

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