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Individual
DONALD R HALSEY
Active
Individual
DONALD R HALSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G32152
CA
207Q00000X
Family Medicine Physician
Primary
G32152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70693F
—
CA
01
—
W1508
MEDICARE GROUP ID
CA
01
—
W1508A
PTAN: B1509Y PTAN GROUP
CA
01
—
W1508C
PTAN: B1509Z. GROUP
CA
01
—
W1508D
PTAN: B1509X PTAN GROUP
CA
01
—
W1508E
PTAN: B1509W , PTAN GROUP
CA
Enumeration date
07/19/2006
Last updated
06/11/2015
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