| Organization Name: | WHITEWATER VETERINARY HOSPITAL SC |
| NPI Number: | 1568620995 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD HALVORSON (OWNER) |
| Mailing Address: | 527 S Janesville St Whitewater |
| State: | WI US |
| Postal Code: | 531901719 |
| Phone Number: | 2624732930 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 116975-VC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |