Provider Demographics
NPI:1902071137
Name:NEEDHAM, HAL
Entity Type:Individual
Prefix:MR
First Name:HAL
Middle Name:
Last Name:NEEDHAM
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 1:1384 BIRCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48609-4201
Mailing Address - Country:US
Mailing Address - Phone:989-781-0231
Mailing Address - Fax:989-781-9932
Practice Address - Street 1:1384 BIRCHFIELD RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48609-4201
Practice Address - Country:US
Practice Address - Phone:989-781-0231
Practice Address - Fax:989-781-9932
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)