Sophie Hall
Individual provider Active NPI Licensed Practical Nurse · London, OH
NPI 1295145266 · NPPES record last updated Jun 5, 2014
Key facts
- NPI
- 1295145266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.155102-M-IV (OH)
- Practice address
- 2820 Old National Road
London, OH 43140 - Phone
- (740) 845-0145
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.155102-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.155102-M-IV | OH | Yes |
Addresses
Primary practice location
2820 Old National Road
London, OH 43140
Mailing address
2820 Old National Road
London, OH 43140
Phone (740) 845-0145
Other providers in London, OH
- Greater Ohio Cardiology,Inc
- Devin Grissom
- Brad Gummere
- Ryan Guthrie
- Rachael Nicole Hager
- April Hammond
- Joshua Hamrick
- Mohamed H. Hamza
- Patrick Paul Haney
- Harmony Adult Day Care LLC
All providers in London, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.