Halsten, Jerry W

Halsten, Jerry W is an individual health care provider with primary practice located at 1313 Fish Hatchery Rd Dean Medical Center, Madison WI 53715-1911. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Halsten, Jerry W can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1313 Fish Hatchery Rd Dean Medical Center Madison WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 252-8245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1820-057 Wisconsin

Profile Details

NPI number 1114984176
LBN Legal business name Halsten, Jerry W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 11th, 2021 - about 3 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 1114984176 NPPES
Wisconsin Other 7310 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 39105900 DEAN HEALTH INSURANCE

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