Individual ProviderRobert E HallChiropractorChiropractic ProvidersPractice Address5360 Broadway, Merrillville, IN 46410-1555(219) 884-3250PECOS EnrollmentBased on the most recent information from CMS, provider Robert E Hall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1679523104Provider TypeIndividualFull NameHall, Robert ETitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date5/12/2006Last Updated12/12/2011Contact InformationPractice LocationPractice Address5360 Broadway, Merrillville, IN 46410-1555Phone(219) 884-3250Fax(219) 884-3828Mailing LocationMailing Address5360 Broadway, Merrillville, IN 46410-1555Phone(219) 884-3250Fax(219) 884-3828Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense08001395AIndianaProvider IdentifiersIDDescriptionIssuerID10338150DescriptionMedicaidIssuerUnlistedIndiana