Liddell, Hal T

Liddell, Hal T is an individual health care provider with primary practice located at 139 Fairfield Dr , Hattiesburg MS 39402-1303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Liddell, Hal T can be contacted via phone (601) 450-2401.

Contact Information

Primary practice address
139 Fairfield Dr Hattiesburg MS 39402-1303
Phone: (601) 450-2401
Fax: (601) 450-2433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 09147 Mississippi

Profile Details

NPI number 1023032497
LBN Legal business name Liddell, Hal T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 4th, 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 1023032497 NPPES
Mississippi MEDICAID 1023032497
Mississippi Other 509218YTSR

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