Halterman, Robert L
Halterman, Robert L is an individual health care provider with primary practice located at 1100 E Poplar St Ste A, Clarksville AR 72830-4419. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Halterman, Robert L can be contacted via phone (479) 754-5337.Contact Information
Primary practice address
1100 E Poplar St Ste A
Clarksville AR 72830-4419
Phone: (479) 754-5337
Fax: (479) 754-5348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 119015 | Missouri |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 02241 | Kentucky |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 200300349 | North Carolina |
Profile Details
| NPI number | 1881638013 |
|---|---|
| LBN Legal business name | Halterman, Robert L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881638013 | NPPES |
| Missouri | Other | 119015 | STATE LICENSE |
| Missouri | Other | 02241 | STATE LICENSE |
| Missouri | MEDICAID | N49003 | STATE LICENSE |
| Missouri | Other | 000000538418 | STATE LICENSE |
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