Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35.0666045 | OH |
Y | 208600000X | Surgeon | 35.0666045 | OH |
NPI | 1003992660 |
---|---|
Provider Name | Cyril Franklyn Halbert |
First Address | Athens, OH 45701-2138 |
Second Address | Athens, OH 45701-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 07/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0989702 | (05) | OH |
3810026950 | (05) | WV |