Provider Demographics
NPI:1417194283
Name:HALSEY-HILL, CHESTER
Entity Type:Individual
Prefix:MR
First Name:CHESTER
Middle Name:
Last Name:HALSEY-HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 WATER ST
Mailing Address - Street 2:
Mailing Address - City:GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-2010
Mailing Address - Country:US
Mailing Address - Phone:207-588-2065
Mailing Address - Fax:
Practice Address - Street 1:552 WATER ST
Practice Address - Street 2:
Practice Address - City:GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-2010
Practice Address - Country:US
Practice Address - Phone:207-588-2065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider