Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD DERICK HALL, PTA
Active Sole ProprietorCHAD DERICK HALL, PTA is a Community Health Worker healthcare provider located in LONG NECK, Delaware. NPI 1992932552 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LONG NECK, DE
Registration Details
- NPI Number
- 1992932552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2009 (17.127141631886 yrs)
- Last Updated
- Sep 28, 2009
- License
-
J2-0000674 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26396 BAY FARM RDBACK BAY PARK CENTERLONG NECK, DE, 199664993Browse DE providers · Browse ZIP 19966
- Phone
- 3029479662
- Fax
- 3029479692
- Primary Specialty
-
Community Health Worker
172V00000X
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.