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Contact Information

TIFFANY S HALL, PA-C
1500 109TH AVE NE
BLAINE, MN55449
 Phone: 763-421-5011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIFFANY S HALL · (Female)

NPI # 1205012424
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/17/2008
Last updated 01/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10653
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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