Haller, Trista

Haller, Trista is an individual health care provider with primary practice located at 99 Autumn St Suite 101, Aliquippa PA 15001-1301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haller, Trista can be contacted via phone (724) 375-3199.

Contact Information

Primary practice address
99 Autumn St Suite 101 Aliquippa PA 15001-1301
Fax: (724) 375-5858
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012772 Pennsylvania

Profile Details

NPI number 1891752937
LBN Legal business name Haller, Trista
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Apr 17th, 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 1891752937 NPPES
Pennsylvania MEDICAID 1012473280001
Pennsylvania Other 410807
Pennsylvania Other 1756822
Pennsylvania MEDICAID 2595366

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