LOIS R HALLECK NURSE PRACTITIONER NPI 1538262704

NPI Information

NPI: 1538262704
Provider Name: LOIS R HALLECK, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
141 S BLACK HORSE PIKE
SUITE 104
BLACKWOOD, NJ
ZIP 08012
Phone: (856) 292-8216
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Lois R Halleck, NURSE PRACTITIONER is a family nurse practitioner in Blackwood, NJ. Lois R Halleck, NURSE PRACTITIONER NPI is 1538262704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141 S BLACK HORSE PIKE
SUITE 104
BLACKWOOD, NJ
ZIP 08012-975
Phone: (856) 292-8216
Fax: (856) 848-3011

The NPI 1538262704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 11/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		26NR05584600	NEW JERSEY	No
2	363LF0000X	Nurse Practitioner	Family	26NJ00003800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P68045	MEDICARE UPIN
2	P00037276	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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