Halldorson, Jeffrey Burke
Halldorson, Jeffrey Burke is an individual health care provider with primary practice located at 8010 Frost St Ste 510 , San Diego CA 92123-4284. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Halldorson, Jeffrey Burke can be contacted via phone (858) 637-4800.Contact Information
Primary practice address
8010 Frost St Ste 510
San Diego CA 92123-4284
Phone: (858) 637-4800
Fax: (858) 637-4801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | G86089 | California |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | G86089 | California |
Profile Details
NPI number | 1558446351 |
---|---|
LBN Legal business name | Halldorson, Jeffrey Burke |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Jan 29th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558446351 | NPPES |
California | Other | G86089 | CA LICENSE |
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