Individual
JAMES MATTHEW HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11835 FISHING POINT DR, SUITE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
(757) 599-6893
Mailing address
11835 FISHING POINT DR, SUITE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
(757) 599-6893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102049844
VA
207Q00000X
Family Medicine Physician
OS15143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y043J02
MEDICARE PTAN
VA
05
—
1902899016
—
VA
01
—
C10736
GROUP PTN
—
Enumeration date
08/24/2005
Last updated
04/25/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us