Provider Demographics
NPI:1306833017
Name:SHULER, HALLIE ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:HALLIE
Middle Name:ANN
Last Name:SHULER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1117
Mailing Address - Country:US
Mailing Address - Phone:570-546-3300
Mailing Address - Fax:570-546-7518
Practice Address - Street 1:144 E WATER ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1117
Practice Address - Country:US
Practice Address - Phone:570-546-3300
Practice Address - Fax:570-546-7518
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004255L213E00000X, 213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2601576OtherAETNA HMO
PA5556667OtherAETNA PPO
PA001867509-0002Medicaid
PA817775OtherFIRST PRIORITY
PASH950423OtherBC/BS
PA817775OtherFIRST PRIORITY
PAU69023Medicare UPIN