Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC25698 | CA |
NPI | 1003908021 |
---|---|
Provider Name | Dr. Richard M Hall |
First Address | Alameda, CA 94501-7649 |
Second Address | Alameda, CA 94501-7649 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |