NPI 1104100155

Anthony Robert Halterman, BS

Practitioner Case Manager/Care Coordinator Peru, IN

Practice location

Address: 655 E Main St, Peru, IN 46970-2662
Phone: (765) 472-1931
Fax: (765) 472-1945
Mailing address: 1015 Michigan Ave, Logansport, IN 46947-1526

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1104100155
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2011
Record last updated: 7 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.