Individual
JILL EILEEN HALTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
564 E 2ND ST, SALEM, OH 44460-2914
(234) 567-8150
(234) 567-8189
Mailing address
564 E 2ND ST, SALEM, OH 44460-2914
(234) 567-8150
(234) 567-8189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.125997
OH
207Q00000X
Family Medicine Physician
MD441543
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054681
—
OH
Enumeration date
12/02/2008
Last updated
03/07/2023
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