Provider Demographics
NPI:1568603348
Name:HALL, JAMES ERDMAN
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ERDMAN
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 1:4327 MILLERS STATION RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21102-2319
Mailing Address - Country:US
Mailing Address - Phone:410-239-8311
Mailing Address - Fax:
Practice Address - Street 1:4327 MILLERS STATION RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MD
Practice Address - Zip Code:21102-2319
Practice Address - Country:US
Practice Address - Phone:410-239-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO1327171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist