Halvorson, John

Halvorson, John is an individual health care provider with primary practice located at 1160 Patterson Rd , Grand Junction CO 81506-8275. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Halvorson, John can be contacted via phone (970) 244-2800.

Contact Information

Primary practice address
1160 Patterson Rd Grand Junction CO 81506-8275
Fax: (970) 255-6291
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 511 Colorado

Profile Details

NPI number 1780660670
LBN Legal business name Halvorson, John
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Nov 20th, 2007 - 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 1780660670 NPPES
Colorado MEDICAID 07005119

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