Haller, James C

Haller, James C is an individual health care provider with primary practice located at 259 Main Street , Yarmouth ME 04096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haller, James C can be contacted via phone (207) 846-9013.

Contact Information

Primary practice address
259 Main Street Yarmouth ME 04096
Phone: (207) 846-9013
Fax: (207) 523-8586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 013405 Maine

Profile Details

NPI number 1235108937
LBN Legal business name Haller, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 28th, 2010 - about 14 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 1235108937 NPPES
Other 014279 ANTHEM
Other 0797926 ANTHEM
MEDICAID 278010099 ANTHEM

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