Peter Spellman Halt in Mount Shasta - Radiologic Technologist

Peter Spellman Halt - NPI 1396740338

Peter Spellman Halt is a Radiologic Technologist in Mount Shasta, California. Peter Spellman Halt practices all healthcare services and medical treatments related to Radiologic Technologist. The NPI Number for Peter Spellman Halt is 1396740338. The last update date is 2017-10-04.

Peter Spellman Halt's current location address is 914 Pine St, Mount Shasta, California. You can contact this provider via phone number 5309269329 and fax number 5309269855. The mailing address for Peter Spellman Halt is 914 Pine St, Mount Shasta, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Spellman Halt
Address 914 Pine St, Mount Shasta, California
Phone Number 5309269329
Fax Number 5309269855
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1396740338
Provider Enumeration Date 2005-06-16
Last Updated Date 2017-10-04

Provider Mailing Address Detail

Address 914 Pine St
City Mount Shasta
State California (CA)
Post Code 9606721430
Phone Number 5309269329
Fax Number 5309269855

Provider's Primary Taxonomy Detail

Speciality Radiologic Technologist
Taxonomy 247100000X
Licence No A76207
Definition:
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A762070 CA --

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FAQs about Peter Spellman Halt

What is the unique identifier code issued to Peter Spellman Halt by the Centers for Medicare & Medicaid Services?

The Peter Spellman Halt has been assigned the NPI (National Provider Identifier) 1396740338. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

What is Peter Spellman Halt's specialized field of practice, and what is the corresponding taxonomy classification code?

The Peter Spellman Halt's area of specialization is Radiologic Technologist, and the corresponding taxonomy code that categorizes this field of practice is 247100000X.

On what date was the 1396740338 assigned to Peter Spellman Halt?

The Peter Spellman Halt was issued its 1396740338 on 2005-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Peter Spellman Halt most recently updated?

The details pertaining to the Peter Spellman Halt, including its address, specialty, and other relevant information, were last refreshed on 2017-10-04.

As of what date was the information pertaining to Peter Spellman Halt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peter Spellman Halt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-04.

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