Absalom Solomon Hall, B.A.

Individual provider Active NPI Case Manager/Care Coordinator · Pedro, OH

NPI 1770032104 · NPPES record last updated Sep 27, 2016

Key facts

NPI
1770032104
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
115 Private Road 977
Pedro, OH 45659-8608
Phone
(740) 534-1386
Fax
(740) 534-1513
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

115 Private Road 977
Pedro, OH 45659-8608

Mailing address

PO Box 6
Pedro, OH 45659-0006
Phone (740) 534-1386

Other providers in Pedro, OH

All providers in Pedro, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.