Halt, Peter Spellman

Halt, Peter Spellman is an individual health care provider with primary practice located at 914 Pine St , Mount Shasta CA 96067-2143. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Halt, Peter Spellman can be contacted via phone (530) 926-9329.

Contact Information

Primary practice address
914 Pine St Mount Shasta CA 96067-2143
Phone: (530) 926-9329
Fax: (530) 926-9855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X A76207 California

Profile Details

NPI number 1396740338
LBN Legal business name Halt, Peter Spellman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 4th, 2017 - about 7 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 1396740338 NPPES
California MEDICAID 00A762070

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