Individual
JOHN ANDREW HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029044
CT
207X00000X
Orthopaedic Surgery Physician
2010-00313
NC
207X00000X
Orthopaedic Surgery Physician
22726
WV
207X00000X
Orthopaedic Surgery Physician
MD07302
RI
207X00000X
Orthopaedic Surgery Physician
TD131075
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156VW
BCBSNC
NC
05
—
3810008679
—
WV
Enumeration date
02/13/2006
Last updated
06/24/2013
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