Individual
SHANE ALEXANDER HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
307 11TH ST, ELKINS, WV 26241-3517
(304) 636-1010
(304) 636-9877
Mailing address
307 11TH ST, ELKINS, WV 26241-3517
(304) 636-1010
(304) 636-9877
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
989
WV
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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