Erica J Hall
Sports Medicine Doctor
39 Southwell Ave
South Portland
, Maine 04106-5316
Erica J Hall
Sports Medicine Doctor
39 Southwell Ave
South Portland
, Maine 04106-5316
(207) 749-4621
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Erica J Hall
- 39 Southwell Ave
- South Portland, ME
- Zip : 04106-5316
- Phone : (207) 749-4621
Second Address
- Erica J Hall
- 39 Southwell Ave
- South Portland, ME
- Zip : 04106-5316
- Phone : (207) 749-4621
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MT4141 | ME |
National Provider Identifier
| NPI | 1154630994 |
|---|---|
| Provider Name | Erica J Hall |
| First Address | South Portland, ME 04106-5316 |
| Second Address | South Portland, ME 04106-5316 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2010 |
| Last Update Date | 30/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.