John Halvorsen is a Family Medicine in St. Paul, Minnesota. John Halvorsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Halvorsen is 1104830595. The last update date is 2013-02-07.
John Halvorsen's current location address is 1414 Maryland Ave E, St. Paul, Minnesota. You can contact this provider via phone number 6517723461 and fax number 6517725477. The mailing address for John Halvorsen is 1414 Maryland Ave E, St. Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Halvorsen |
|---|---|
| Address | 1414 Maryland Ave E, St. Paul, Minnesota |
| Phone Number | 6517723461 |
| Fax Number | 6517725477 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104830595 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 1414 Maryland Ave E |
|---|---|
| City | St. Paul |
| State | Minnesota (MN) |
| Post Code | 55106 |
| Phone Number | 6517723461 |
| Fax Number | 6517725477 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20514 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25128 | IL | HEALTH ALLIANCE | |
| 472301 | IL | HEALTHLINK | |
| 80154707 | IL | RAILROAD MEDICARE | |
| IL01P7 | IL | JOHN DEERE | |
| 360893132 | IL | -- | |
| 7215059 | IL | BCBS PPO |
Post Comment/ Review Below
What is the unique identifier code issued to John Halvorsen by the Centers for Medicare & Medicaid Services?
The John Halvorsen has been assigned the NPI (National Provider Identifier) 1104830595. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Halvorsen?
The John Halvorsen is situated at 1414 Maryland Ave E, in the city of St. Paul, state of MN, with the zip code 55106.
What is the John Halvorsen's area of specialization and corresponding taxonomy classification?
The John Halvorsen's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When was the John Halvorsen's 1104830595 issued?
The John Halvorsen's 1104830595 was issued on 2006-07-28.
As of what date were the details related to John Halvorsen most recently updated or revised?
The information pertaining to John Halvorsen, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-07.