Halista, Scott M

Halista, Scott M is an individual health care provider with primary practice located at 3377 Main St , Springfield MA 01107-1111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Halista, Scott M can be contacted via phone (413) 734-5661.

Contact Information

Primary practice address
3377 Main St Springfield MA 01107-1111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 75526 Massachusetts

Profile Details

NPI number 1548257496
LBN Legal business name Halista, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 25th, 2008 - about 16 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 1548257496 NPPES
Massachusetts Other F21661 UPIN MEDICARE PREVIOUS
Massachusetts MEDICAID 3089193 UPIN MEDICARE PREVIOUS

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