Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 012710311976-PCFL | FL |
N | 101YP1600X | Pastoral Counselor | LIC NO.10311976LPM | GA |
N | 175F00000X | Naturopath | NAT#1000888 | DC |
N | 175L00000X | Homeopath | 0127-HOM-1031976FLA | FL |
N | 175L00000X | Homeopath | LIC.10311976P-MD | GA |
Y | 207Q00000X | Family Doctor | SDC-1208589 | ZZ |
NPI | 1366778177 |
---|---|
Provider Name | Dr. Shalomim Yahoshua Halahawi |
First Address | Kissimmee, FL 34759-3328 |
Second Address | College Park, GA 30337-6234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2009 |
Last Update Date | 14/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11D2003757 | GEORGIA DEPARTMENT OF COMMUNITY HEALTH CLIA REGISTRATION (01) | GA |
LIC#10311976PMD | AMERICAN ASSOCIATION OF INTEGRATIVE & PASTORAL MEDICINE (01) | GA |