Hallman, Keith O

Hallman, Keith O is an individual health care provider with primary practice located at 2520 Cherry Ave Pathology Dept Harrison Medical Center, Bremerton WA 98310-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Hallman, Keith O can be contacted via phone (360) 792-6736.

Contact Information

Primary practice address
2520 Cherry Ave Pathology Dept Harrison Medical Center Bremerton WA 98310-4229
Phone: (360) 792-6736
Fax: (360) 792-6561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD00012267 Washington

Profile Details

NPI number 1700941325
LBN Legal business name Hallman, Keith O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 12th, 2007 - about 18 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 1700941325 NPPES
Washington Other HA8173 REGENCE
Washington Other 91109177604 REGENCE
Washington Other 154366 REGENCE
Washington MEDICAID 8144008 REGENCE

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