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Contact Information

MATTHEW HALL
1232 RIGBY RD
BANCROFT, ID83217
 Phone: 208-251-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MATTHEW HALL · (Male)

NPI # 1932581089
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2015
Last updated 06/25/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # O-1063
Hospital affiliation(s) Not Available
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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