Hall, Michael
Hall, Michael is an sole proprietor health care provider with primary practice located at 9620 Careys Run Pond Creek Road , Mcdermott OH 45652. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Agencies / Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Hall, Michael can be contacted via phone (740) 858-6683.Contact Information
Primary practice address
9620 Careys Run Pond Creek Road
Mcdermott OH 45652
Phone: (740) 858-6683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Ohio | |
| Other Service Providers / Peer Specialist | 175T00000X | APS.004914 | Ohio |
| Agencies / Case Management | 251B00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1245692359 |
|---|---|
| LBN Legal business name | Hall, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2016 |
| Last updated | Mar 8th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245692359 | NPPES |
| Ohio | MEDICAID | 0484179 |
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