Individual
ANGELA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
110 N MAIN ST, POYNETTE, WI 53955-9329
(608) 635-8915
(608) 635-8901
Mailing address
PO BOX 398, POYNETTE, WI 53955-0398
(608) 635-8915
(608) 635-8901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4142-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38962200
—
WI
Enumeration date
08/22/2006
Last updated
01/18/2013
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