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Contact Information

SHERRY R HALL, PA-C
2800 E DESERT INN RD STE 100
LAS VEGAS, NV89121-3609
 Phone: 702-731-1616
 Fax: 702-734-4900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHERRY R HALL · (Female)

NPI # 1245203397
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/09/2006
Last updated 08/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 007274
  • NC License # 0010-03118
  • NV License # PA1786
  • OH License # 50.001903
  • AL Medicaid 164750
  • GA Medicaid 003150687
  • NV Medicaid 1245203397
  • GA Other 20297I6311 MEDICARE PTAN
Hospital affiliation(s)
  • CENTENNIAL HILLS HOSPITAL MEDICAL CENTER - (Acute Care)
    6900 N DURANGO DR
    LAS VEGAS, NV 89149
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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