Provider Demographics
NPI:1457022089
Name:HALL, NORMAN V
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:V
Last Name:HALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44704-2733
Mailing Address - Country:US
Mailing Address - Phone:330-396-1958
Mailing Address - Fax:330-915-8033
Practice Address - Street 1:1107 8TH ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44704-2733
Practice Address - Country:US
Practice Address - Phone:330-396-1958
Practice Address - Fax:330-915-8033
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health