Provider Demographics
NPI:1295746311
Name:HALLING, H WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:H
Middle Name:WILLIAM
Last Name:HALLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S 68TH ST
Mailing Address - Street 2:SUITE 1203
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8176
Mailing Address - Country:US
Mailing Address - Phone:515-471-1800
Mailing Address - Fax:515-471-1801
Practice Address - Street 1:230 S 68TH ST
Practice Address - Street 2:SUITE 1203
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8176
Practice Address - Country:US
Practice Address - Phone:515-471-1800
Practice Address - Fax:515-471-1801
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA21414207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA50161Medicare ID - Type Unspecified
IAE04844Medicare UPIN