Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1994 | NC |
NPI | 1205930823 |
---|---|
Provider Name | Michelle Lynette Hall |
First Address | Wilkesboro, NC 28697-2251 |
Second Address | Wilkesboro, NC 28697-2251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
(89)0849M | (05) | NC |
0849M | BLUE CROSS BLUE SHIELD (01) | NC |
2102265 | MAMSI (01) | NC |
2686558 | AETNA HMO (01) | NC |
53292 | MEDCOST (01) | NC |
537642 | AETNA PPO/POS (01) | NC |
542746 | FOCUS (01) | NC |
5779 | PARTNERS (01) | NC |
U45376 | (02) | NC |