DR. JAMES GUSTAF HALBERG (NPI# 1548212624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548212624 |
| Entity Type | Individual |
| Full Name | DR. JAMES GUSTAF HALBERG |
| Credential | D.C. |
| Practice Address |
430 E Lauridsen Blvd Suite 113 Port Angeles WA 98362-7978 |
| Practice Telephone | 3604577576 |
| Practice Fax Number | 3604528079 |
| Mailing Telephone | 3604577576 |
| Mailing Fax Number | 3604528079 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034213 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0167048 | 01 |
| WA | 2027910 | 05 | |
| WA | REGENCE | 5327HA | 01 |
| Street Address |
430 E LAURIDSEN BLVD SUITE 113 |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-7978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000880 | Shawn K Hankins | Chiropractor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2005-11-17 |
| 1689143471 | Tien Vo | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2018-11-21 |
| 1073062972 | Wholehearted Functional Medicine | Clinic/Center | 430 E Lauridsen Blvd, 212, Port Angeles, WA 98362-7978 | 2016-10-03 |
| 1568880680 | Susan Crumley Johnson | Social Worker | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2014-04-05 |
| 1215288352 | Marisa Lael Christopher | Specialist | 430 E Lauridsen Blvd, #113, Port Angeles, WA 98362-7978 | 2012-09-28 |
| 1952690539 | Julie Kathleen Hayduk | Massage Therapist | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2011-04-04 |
| 1659679314 | Allison Marie Williams | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2011-03-04 |
| 1831490549 | Heather Nicole Case | Specialist | 430 E Lauridsen Blvd, 113, Port Angeles, WA 98362-7978 | 2010-11-11 |
| 1265743546 | Robert Michael Perry | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2010-07-01 |
| 1326295320 | Rachel Hardies X | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2008-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292125 | Jaclyn Duenas | Chiropractor | 123 E 1st St Ste 1a, Port Angeles, WA 98362-2902 | 2014-07-07 |
| 1538319702 | Joseph A Urquia Ps | Chiropractor | 1111 E Front Street, Port Angeles, WA 98362-4307 | 2008-09-24 |
| 1861559403 | Joseph A Urquia | Chiropractor | 1111 E Front St, Port Angeles, WA 98362-4307 | 2007-01-02 |
| 1306913967 | Jody Ann Schweyen | Chiropractor | 719 S Laurel St, Port Angeles, WA 98362-6020 | 2006-11-29 |
| 1700967445 | Jerry Thomas Weider Jr. | Chiropractor | 603 E 8th St Ste D, Port Angeles, WA 98362-6251 | 2006-10-18 |
| 1801998984 | Lee A Jacobson | Chiropractor | 708 S Race St, Ste A, Port Angeles, WA 98362-6441 | 2006-09-01 |
| 1811920184 | Frank H. Springob | Chiropractor | 106 W Lauridsen Blvd, Port Angeles, WA 98362-7752 | 2006-07-09 |
| 1124000880 | Shawn K Hankins | Chiropractor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2005-11-17 |
| 1114913613 | Jerry M Payne | Chiropractor | 1217 E 1st St, Port Angeles, WA 98362-4301 | 2005-09-21 |
| 1407251515 | Stamper Chiropractic | Chiropractor | 106 W Lauridsen Blvd, Port Angeles, WA 98362-7752 | 2014-10-31 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.