Haldorsen, David
Haldorsen, David is an sole proprietor health care provider with primary practice located at 7 Howard Dr , Spring Valley NY 10977-3820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haldorsen, David can be contacted via phone (845) 627-6114.Contact Information
Primary practice address
7 Howard Dr
Spring Valley NY 10977-3820
Phone: (845) 627-6114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA08867900 | New Jersey |
Profile Details
| NPI number | 1427122464 |
|---|---|
| LBN Legal business name | Haldorsen, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Dec 3rd, 2024 - about 2 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 | 1427122464 | NPPES |
| New York | MEDICAID | 00399293 |
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