Individual
MS. HALSEY ANNE HEINSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514-2483
(574) 523-3161
Mailing address
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514-2483
(574) 523-3161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01072978
IN
207P00000X
Emergency Medicine Physician
35.120029
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000825936
ANTHEM
IN
05
—
201183800
—
IN
Enumeration date
06/21/2010
Last updated
06/19/2023
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