National Provider Identifier Database

GWENDOLYN LEE HALL CNM INC
Health Service


Contact Information

GWENDOLYN LEE HALL CNM INC
261 S MAIN ST
SNOWFLAKE, AZ85937-5316
Phone: 928-536-5377
Fax: 928-536-5377
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for GWENDOLYN LEE HALL CNM INC

NPI Number 1326170317
Legal business name
LBN
GWENDOLYN LEE HALL CNM INC
Authorized official GWENDOLYN HALL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/12/2007
Last updated 07/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: AP0244
  • AZ Medicaid: 490467

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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