Halberg, James Gustaf

Halberg, James Gustaf is an individual health care provider with primary practice located at 430 E Lauridsen Blvd Suite 113, Port Angeles WA 98362-7978. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Halberg, James Gustaf can be contacted via phone (360) 457-7576.

Contact Information

Primary practice address
430 E Lauridsen Blvd Suite 113 Port Angeles WA 98362-7978
Phone: (360) 457-7576
Fax: (360) 452-8079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00034213 Washington

Profile Details

NPI number 1548212624
LBN Legal business name Halberg, James Gustaf
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548212624 NPPES
Washington Other 0167048 LABOR AND INDUSTRIES
Washington Other 5327HA LABOR AND INDUSTRIES
Washington MEDICAID 2027910 LABOR AND INDUSTRIES

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