Doctor Name: | RICHARD JOSEPH HALBISCH |
NPI Number: | 1275552929 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.PSG.T |
License Number: | 883 |
Business Practice Address: | 16601 N 40th St 115 Phoenix, AZ - 850323345 |
Business Phone Number: | 6026827630 |
Business Fax Number: | |
Mailing Address: | 16601 N 40th St, 115 PHOENIX |
State: | AZ |
Postal Code: | 850323345 |
Phone Number: | 6026827630 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |