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Contact Information

FREDERICK J HALL, DPM
510 E STONER AVE
SHREVEPORT, LA71101-4243
 Phone: 678-640-5685
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FREDERICK J HALL · (Male)

NPI # 1154693968
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/08/2012
Last updated 02/08/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # POD000612
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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