Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW HALL
Active Sole ProprietorMATTHEW HALL is a General Practice healthcare provider located in BANCROFT, Idaho. NPI 1932581089 is currently active in the NPPES registry. Verify at CMS.
General Practice · BANCROFT, ID
Registration Details
- NPI Number
- 1932581089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2015 (11.113466360581 yrs)
- Last Updated
- Jun 25, 2018
- License
-
O-1063 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1232 RIGBY RDBANCROFT, ID, 83217Browse ID providers · Browse ZIP 83217
- Phone
- 2082513800
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.