Dr. Walter Henry Halloran
Cardiothoracic Vascular Surgeon
500 Arcade Ave Ste 230
Elkhart
, Indiana 46514-2485
Dr. Walter Henry Halloran
Cardiothoracic Vascular Surgeon
500 Arcade Ave Ste 230
Elkhart
, Indiana 46514-2485
(574) 237-6069
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Walter Henry Halloran
- 710 N Niles Ave
- South Bend, IN
- Zip : 46617-1924
- Fax : (574) 237-6069
- Phone : (574) 647-1610
Second Address
- Dr. Walter Henry Halloran
- 500 Arcade Ave Ste 230
- Elkhart, IN
- Zip : 46514-2485
- Fax : (574) 522-5572
- Phone : (574) 522-6565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01039629 | IN |
National Provider Identifier
| NPI | 1053486191 |
|---|---|
| Provider Name | Dr. Walter Henry Halloran |
| First Address | South Bend, IN 46617-1924 |
| Second Address | Elkhart, IN 46514-2485 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 30/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100103250 | (05) | IN |
| E86546 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.