Healthcare Provider Details

I. General information

NPI: 1477127736
Provider Name (Legal Business Name): ASHLEY HALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 E CHICAGO ST
COLDWATER MI
49036-2041
US

IV. Provider business mailing address

292 LYON LAKE RD
MARSHALL MI
49068-8207
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-5437
  • Fax:
Mailing address:
  • Phone: 248-701-7652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301514965
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: