Halvorsen, Rodney J

Halvorsen, Rodney J is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Halvorsen, Rodney J can be contacted via phone (262) 948-7071.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-7071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 31319 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 31319 Wisconsin

Profile Details

NPI number 1649388802
LBN Legal business name Halvorsen, Rodney J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jun 13th, 2014 - about 11 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 1649388802 NPPES
Wisconsin MEDICAID 31940700

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