Halverson, James Matthew

Halverson, James Matthew is an individual health care provider with primary practice located at 11835 Fishing Point Dr Suite 104, Newport News VA 23606-2584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Halverson, James Matthew can be contacted via phone (757) 599-5588.

Contact Information

Primary practice address
11835 Fishing Point Dr Suite 104 Newport News VA 23606-2584
Phone: (757) 599-5588
Fax: (757) 599-6893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15143 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102049844 Virginia

Profile Details

NPI number 1902899016
LBN Legal business name Halverson, James Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Apr 25th, 2019 - about 7 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 1902899016 NPPES
Virginia Other 00Y043J02 MEDICARE PTAN
Virginia Other C10736 MEDICARE PTAN
Virginia MEDICAID 1902899016 MEDICARE PTAN

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