Halverson, Charles Milo

Halverson, Charles Milo is an individual health care provider with primary practice located at 1540 North Bell Street , Fremont NE 68025-3537. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Halverson, Charles Milo can be contacted via phone (402) 721-7171.

Contact Information

Primary practice address
1540 North Bell Street Fremont NE 68025-3537
Phone: (402) 721-7171
Fax: (402) 721-7233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 226 Nebraska

Profile Details

NPI number 1821188558
LBN Legal business name Halverson, Charles Milo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 4th, 2008 - 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 1821188558 NPPES
Other 480022398 RR MEDICARE
MEDICAID 91174800200 RR MEDICARE
Other 480022397 RR MEDICARE

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