Jerry Hall, P.A.-C
Individual provider Active NPI Physician Assistant · Pigeon, MI
NPI 1295761369 · NPPES record last updated Nov 11, 2009
Key facts
- NPI
- 1295761369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601001060 (MI)
- Practice address
- 168 N Caseville Rd
Pigeon, MI 48755-9704 - Phone
- (989) 453-2141
- Fax
- (989) 453-4550
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601001060 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001060 | MI | Yes |
Addresses
Primary practice location
168 N Caseville Rd
Pigeon, MI 48755-9704
Mailing address
168 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-5210
Other providers in Pigeon, MI
- Julia Elaine Deer
- Barbara Lynn Doran
- Jesika Ferris-Struve
- Sity Milad Girgis
- H & J Corp.
- Laurey R Hanselman
- Ann Marie Harder
- Gregg Michael Hernisey
- Sherrie Hernisey
- Cynthia Susanne Herrin
All providers in Pigeon, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2009. 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.