Hall, William Charles Andrew

Hall, William Charles Andrew is an individual health care provider with primary practice located at 2141 N Harbor Blvd Suite 35000, Fullerton CA 92835. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hall, William Charles Andrew can be contacted via phone (714) 626-8630.

Contact Information

Primary practice address
2141 N Harbor Blvd Suite 35000 Fullerton CA 92835
Phone: (714) 626-8630
Fax: (714) 626-8659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-002096 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA23284 California

Profile Details

NPI number 1205889326
LBN Legal business name Hall, William Charles Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 3rd, 2021 - about 5 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 1205889326 NPPES
Illinois Other 085002096 BLUE CROSS/BLUE SHIELD PROVIDER NUMBER
Illinois Other 085002096 BLUE CROSS/BLUE SHIELD PROVIDER NUMBER

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