1558356550 NPI number — MR. RICHARD CARL HALAS MA

Table of content: MR. RICHARD CARL HALAS MA (NPI 1558356550)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558356550 NPI number — MR. RICHARD CARL HALAS MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALAS
Provider First Name:
RICHARD
Provider Middle Name:
CARL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558356550
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26300 EUCLID AVE
Provider Second Line Business Mailing Address:
#716
Provider Business Mailing Address City Name:
EUCLID
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44132-3708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-289-8930
Provider Business Mailing Address Fax Number:
216-289-8934

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26300 EUCLID AVE
Provider Second Line Business Practice Location Address:
#716
Provider Business Practice Location Address City Name:
EUCLID
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44132-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-289-8930
Provider Business Practice Location Address Fax Number:
216-289-8934
Provider Enumeration Date:
09/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  1667 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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