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Contact Information

OTTO C HALL, DPM
7301 HENNESSY BLVD
#200
BATON ROUGE, LA70808
 Phone: 225-766-0050
 Fax: 225-766-1499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for OTTO C HALL · (Male)

NPI Number 1679579759
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/23/2005
Last updated 02/10/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # DPMLPD027R
  • LA License # LPD027R
  • LA Medicaid 1365661
  • LA Medicaid 13656612
  • LA Other 06461 BLUE CROSS / BLUE SHEILD
Hospital affiliation(s)
  • BATON ROUGE GENERAL MEDICAL CENTER - (Acute Care)
    3600 FLORIDA STREET
    BATON ROUGE, LA 70806
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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