Halstead, R. Renee

Halstead, R. Renee is an individual health care provider with primary practice located at 722 Medical Center Dr E #101 , Clovis CA 93611. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Halstead, R. Renee can be contacted via phone (559) 297-9500.

Contact Information

Primary practice address
722 Medical Center Dr E #101 Clovis CA 93611
Phone: (559) 297-9500
Fax: (559) 297-9572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X NMW147

Profile Details

NPI number 1336204163
LBN Legal business name Halstead, R. Renee
Credentials CNM NP RN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated May 19th, 2015 - about 10 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 1336204163 NPPES
California MEDICAID NMW001470

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