Halsband, Earle Robert

Halsband, Earle Robert is an individual health care provider with primary practice located at 9 Linden St , Worcester MA 01609-2510. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Halsband, Earle Robert can be contacted via phone (508) 755-0008.

Contact Information

Primary practice address
9 Linden St Worcester MA 01609-2510
Phone: (508) 755-0008
Fax: (508) 770-0603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10436 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10436 Massachusetts

Profile Details

NPI number 1619043080
LBN Legal business name Halsband, Earle Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619043080 NPPES
Massachusetts MEDICAID 0263125

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