=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114936226
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTINE E HALL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2006
-----------------------------------------------------
Last Update Date | 09/08/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6790 PERIMETER DR STE 200 AMERICAN HEALTH NETWORK OF OHIO PC
-----------------------------------------------------
City | DUBLIN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43016-8068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-602-4600
-----------------------------------------------------
Fax | 614-602-4601
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 CORPORATE EXCHANGE DR STE 100 AMERICAN HEALTH NETWORK OF OHIO PC
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43231-7601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-602-4600
-----------------------------------------------------
Fax | 614-602-4601
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | COA.07412-NS
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------