Halloran, Walter Henry

Halloran, Walter Henry is an individual health care provider with primary practice located at 500 Arcade Ave Ste 230 , Elkhart IN 46514-2485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Halloran, Walter Henry can be contacted via phone (574) 522-6565.

Contact Information

Primary practice address
500 Arcade Ave Ste 230 Elkhart IN 46514-2485
Phone: (574) 522-6565
Fax: (574) 522-5572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01039629 Indiana

Profile Details

NPI number 1053486191
LBN Legal business name Halloran, Walter Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Mar 30th, 2021 - about 4 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 1053486191 NPPES
Indiana MEDICAID 100103250

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