person
Mrs. Neysa Lou Hall, PROVIDER
Private Vehicle in Broken Arrow, Oklahoma
NPI 1639463094

Neysa Lou Hall is a Private Vehicle based in Broken Arrow, OK. Neysa Lou Hall practices in Broken Arrow, OK and has the professional credentials of PROVIDER. The NPI Number for Neysa Lou Hall is 1639463094 and holds a License No. U082273901 (Oklahoma).

The current practice location address for Neysa Lou Hall is 2420 S Dogwood Ave, Broken Arrow, OK and can be reached out via phone at 918-449-0091 and via fax at 918-449-0091.

Location: 2420 S Dogwood Ave, Broken Arrow, OK, 74012-1013
person
Provider Profile Details
NPI Number
1639463094
Provider Name
Neysa Lou Hall
Credential
PROVIDER
Provider Entity Type
Individual
Gender
Female
Address
2420 S Dogwood Ave, Broken Arrow, OK, 74012-1013
Phone Number
918-449-0091
Fax Number
918-449-0091
Provider Enumeration Date
06/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200329220 01 OK SOONER CARE PROVIDER
institution
Provider Business Practice Location Address Details
Address
2420 S Dogwood Ave
City
State
Zip
74012-1013
Phone Number
918-449-0091
Fax Number
918-449-0091
person
Provider Business Mailing Address Details
Address
2420 S Dogwood Ave
City
State
Zip
74012-1013
Phone Number
918-449-0091
Fax Number
918-449-0091
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
U082273901 (Oklahoma)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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