Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 002495 | OH |
Y | 222Z00000X | Podiatrist | 002495 | OH |
NPI | 1043241938 |
---|---|
Provider Name | Jeffrey A Halpert |
First Address | Parma, OH 44129-2633 |
Second Address | Parma, OH 44129-2633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 20/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0705231 | (05) | OH |
480025507 | RAILROAD MEDICARE (01) | OH |
T80574 | (02) | OH |