Haller, Patricia A

Haller, Patricia A is an individual health care provider with primary practice located at 59 W Main St , Chillicothe OH 45601-3104. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haller, Patricia A can be contacted via phone (740) 774-4616.

Contact Information

Primary practice address
59 W Main St Chillicothe OH 45601-3104
Phone: (740) 774-4616
Fax: (740) 779-3856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4841 Ohio

Profile Details

NPI number 1417946740
LBN Legal business name Haller, Patricia A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Apr 28th, 2017 - about 9 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 1417946740 NPPES
Ohio Other 311745571 COORDINATED VISION CARE
Ohio Other 4042081 COORDINATED VISION CARE
Ohio Other 311745571 COORDINATED VISION CARE
Ohio Other 0005791631 COORDINATED VISION CARE
Ohio Other 2201034 COORDINATED VISION CARE
Ohio MEDICAID 2013921 COORDINATED VISION CARE
Ohio Other 311745571 COORDINATED VISION CARE

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