Haller, Jeffrey

Haller, Jeffrey is an individual health care provider with primary practice located at 700 W Kent Ave , Missoula MT 59801-6772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Haller, Jeffrey can be contacted via phone (406) 541-3277.

Contact Information

Primary practice address
700 W Kent Ave Missoula MT 59801-6772
Phone: (406) 541-3277
Fax: (406) 541-3950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 9810 Montana

Profile Details

NPI number 1194712307
LBN Legal business name Haller, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194712307 NPPES
Montana MEDICAID 35711
Montana MEDICAID 003084200
Montana MEDICAID 120178600

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