Provider Demographics
NPI:1649245127
Name:HALM, STEVEN JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:HALM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:217 TURNER DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5754
Mailing Address - Country:US
Mailing Address - Phone:336-634-3902
Mailing Address - Fax:336-634-3933
Practice Address - Street 1:217 TURNER DR
Practice Address - Street 2:SUITE F
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5754
Practice Address - Country:US
Practice Address - Phone:336-634-3902
Practice Address - Fax:336-634-3933
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9300140208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6938480Medicaid
NC2402033BMedicare PIN
NC6938480Medicaid