Provider Demographics
NPI:1396458048
Name:HALL, JOSEPH JAMES
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JAMES
Last Name:HALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3663 LANGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-3083
Mailing Address - Country:US
Mailing Address - Phone:216-392-4456
Mailing Address - Fax:
Practice Address - Street 1:3663 LANGSTON AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-3083
Practice Address - Country:US
Practice Address - Phone:216-392-4456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker