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NPI Code Detail

MEDICARE: DR. MICHAEL B HALLE MD

MEDICARE: DR. MICHAEL B HALLE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101048419VA

General Provider Information

NPI Number : 1467527317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL B HALLE MD
Provider Business Mailing Address
First Line : 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI
Second Line : KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
City : ROCKVILLE
State : MD
Zip : 20852-4908
Country : US
Telephone Number : 301-816-2424
Fax Number :
Provider Business Practice Location Address
First Line : 2101 E JEFFERSON ST
Second Line : KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
City : ROCKVILLE
State : MD
Zip : 20852-4908
Country : US
Telephone Number : 701-922-1000
Fax Number : 703-922-1039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 11/16/2011

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