Haller, Harold Dale
Haller, Harold Dale is an sole proprietor health care provider with primary practice located at 4003 Kresge Way Ste 312 , Louisville KY 40207-4652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Haller, Harold Dale can be contacted via phone (502) 899-7377.Contact Information
Primary practice address
4003 Kresge Way Ste 312
Louisville KY 40207-4652
Phone: (502) 899-7377
Fax: (502) 899-1972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 31062 | Kentucky |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 31062 | Kentucky |
Profile Details
| NPI number | 1972577823 |
|---|---|
| LBN Legal business name | Haller, Harold Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Mar 5th, 2024 - about 6 months 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 | 1972577823 | NPPES |
| Kentucky | Other | 1079140 | PASSPORT |
| Kentucky | MEDICAID | 64310626 | PASSPORT |
| Kentucky | Other | 290012790 | PASSPORT |
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