Hallstrom, Judith

Hallstrom, Judith is an sole proprietor health care provider with primary practice located at 7487 S State Road 121 , Macclenny FL 32063-5451. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Hallstrom, Judith can be contacted via phone (904) 259-6211.

Contact Information

Primary practice address
7487 S State Road 121 Macclenny FL 32063-5451
Fax: (904) 259-7104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 45244 Florida

Profile Details

NPI number 1790892917
LBN Legal business name Hallstrom, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
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.

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