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Contact Information

PERRY L HALL III, DO
1836 LOCUST AVENUE
SUITE 1
FAIRMONT, WV26554
 Phone: 304-366-7767
 Fax: 304-366-8837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PERRY L HALL III · (Male)

NPI # 1083656896
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/13/2006
Last updated 03/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # WV1611
  • WV Medicaid 0055042000
Hospital affiliation(s)
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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