Provider Demographics
NPI:1700606506
Name:HALL, NEIL C
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:C
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 1:3445 RIDGELINE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22802-1357
Mailing Address - Country:US
Mailing Address - Phone:540-271-4977
Mailing Address - Fax:
Practice Address - Street 1:3445 RIDGELINE DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22802-1357
Practice Address - Country:US
Practice Address - Phone:540-271-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator