Hally, Samuel
Hally, Samuel is an individual health care provider with primary practice located at 1346 Cimarron Ct , Middleton ID 83644-5894. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hally, Samuel can be contacted via phone (208) 695-8001.Contact Information
Primary practice address
1346 Cimarron Ct
Middleton ID 83644-5894
Phone: (208) 695-8001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 65699 | Idaho |
Profile Details
| NPI number | 1982210795 |
|---|---|
| LBN Legal business name | Hally, Samuel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2020 |
| Last updated | Sep 17th, 2020 - about 6 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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