Halladay, Jeffrey

Halladay, Jeffrey is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Halladay, Jeffrey can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Phone: (313) 576-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40163 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301099265 Michigan

Profile Details

NPI number 1326243544
LBN Legal business name Halladay, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Nov 27th, 2023 - about 2 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 1326243544 NPPES
Minnesota Other P00804136 MEDICARE RAILROAD
Minnesota MEDICAID 401639 MEDICARE RAILROAD
Minnesota MEDICAID ENROLLED MEDICARE RAILROAD

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