Halderman, Patrick
Halderman, Patrick is an individual health care provider with primary practice located at 7431 Atlantic Blvd , Jacksonville FL 32211-8712. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Halderman, Patrick can be contacted via phone (904) 722-2151.Contact Information
Primary practice address
7431 Atlantic Blvd
Jacksonville FL 32211-8712
Phone: (904) 722-2151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | RPT21311 | Florida |
Profile Details
| NPI number | 1174115562 |
|---|---|
| LBN Legal business name | Halderman, Patrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2021 |
| Last updated | Feb 7th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174115562 | NPPES |
| Florida | MEDICAID | RPT21311 |
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