Hallisey, John William
Hallisey, John William is an sole proprietor health care provider with primary practice located at 1270 Peach St , San Luis Obispo CA 93401-2856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hallisey, John William can be contacted via phone (805) 541-1342.Contact Information
Primary practice address
1270 Peach St
San Luis Obispo CA 93401-2856
Phone: (805) 541-1342
Fax: (805) 541-5836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G25366 | California |
Profile Details
| NPI number | 1467500686 |
|---|---|
| LBN Legal business name | Hallisey, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1467500686 | NPPES |
| California | MEDICAID | 00G253660 |
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