Halverson, David Charles

Halverson, David Charles is an individual health care provider with primary practice located at 1150 Heatherlea Ct , Canton MI 48188-6238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Halverson, David Charles can be contacted via phone (734) 999-3090.

Contact Information

Primary practice address
1150 Heatherlea Ct Canton MI 48188-6238
Fax: (518) 240-4431
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4301113878 Michigan

Profile Details

NPI number 1639182462
LBN Legal business name Halverson, David Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Apr 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639182462 NPPES
Maryland MEDICAID 413175400

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