Individual
JOHN E HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 N WISCONSIN ST, ELKHORN, WI 53121-1317
(262) 723-2234
(226) 723-2834
Mailing address
PO BOX 350, ELKHORN, WI 53121-0350
(262) 723-2234
(226) 723-2834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046006337
IL
152W00000X
Optometrist
Primary
1349
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38571300
—
WI
Enumeration date
07/07/2006
Last updated
03/13/2009
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