Halloran, Carol
Halloran, Carol is an sole proprietor health care provider with primary practice located at 1950 Plymouth Ave , Waterloo IA 50702-3524. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Halloran, Carol can be contacted via phone (319) 291-3908.Contact Information
Primary practice address
1950 Plymouth Ave
Waterloo IA 50702-3524
Phone: (319) 291-3908
Fax: (319) 291-4077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 07465 | Iowa |
Profile Details
| NPI number | 1407831746 |
|---|---|
| LBN Legal business name | Halloran, Carol |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Sep 27th, 2012 - about 13 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 | 1407831746 | NPPES |
| Iowa | MEDICAID | 0076372 |
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