Dr Gerard O'Halloran Ent & Facial Plastic Surgery Pa

LBN: Dr Gerard O'Halloran Ent & Facial Plastic Surgery Pa
Dr Gerard O'Halloran Ent & Facial Plastic Surgery Pa is an health care organization with primary practice located at 1645 Lyndale Ave N Suite 3, Faribault MN 55021-2934. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Dr Gerard O'Halloran Ent & Facial Plastic Surgery Pa can be contacted via phone (612) 590-0175, or through O'Halloran, Gerard L via phone (612) 590-0175.

Contact Information

Primary practice address
1645 Lyndale Ave N Suite 3 Faribault MN 55021-2934
Fax: (651) 493-0968
Website:
Authorized official contact:
Name: O'Halloran, Gerard L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 30984 Minnesota

Profile Details

NPI number 1215238225
LBN Legal business name Dr Gerard O'Halloran Ent & Facial Plastic Surgery Pa
DBA Doing business as
Authorized official O'Halloran, Gerard L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2010
Last updated Nov 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215238225 NPPES
Minnesota MEDICAID 040000375

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