Hall, Rene

Hall, Rene is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Hall, Rene can be contacted via phone (605) 355-2229.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2229
Fax: (605) 355-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 37789

Profile Details

NPI number 1790220119
LBN Legal business name Hall, Rene
Credentials MLT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 2016 - about 10 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 1790220119 NPPES
South Dakota Other 5549050 MEDICAID
South Dakota MEDICAID 0140070 MEDICAID

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