MEDICARE: SHEILA HALE

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
1	156F00000X	Technician/Technologist

General Provider Information

NPI Number	:	1871223511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA HALE

Provider Business Mailing Address
First Line	:	4429 S RIVER BLVD
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-4659
Country	:	US
Telephone Number	:	816-786-4253
Fax Number	:

Provider Business Practice Location Address
First Line	:	4429 S RIVER BLVD
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-4659
Country	:	US
Telephone Number	:	816-786-4253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	09/25/2024

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Directions to “ SHEILA HALE ” Practice Location

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