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Contact Information

LARRY D HALL JR
3010 15TH AVE S
GREAT FALLS, MT59405-5240
 Phone: 406-216-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LARRY D HALL JR · (Male)

NPI # 1851061956
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2021
Last updated 09/19/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 11015472
  • MT License # 240740
Hospital affiliation(s)
  • SANTA ROSA MEDICAL CENTER - (Acute Care)
    6002 BERRYHILL RD
    MILTON, FL 32570
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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