Healthcare Provider Details

I. General information

NPI: 1750362323
Provider Name (Legal Business Name): JOHN JOSEPH HALKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 09/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 S. MCCARRAN BLVD BLDG D #38
RENO NV
89509
US

IV. Provider business mailing address

6490 S. MCCARRAN BLVD BLDG D #38
RENO NV
89509
US

V. Phone/Fax

Practice location:
  • Phone: 775-870-1050
  • Fax: 775-499-5982
Mailing address:
  • Phone: 775-870-1050
  • Fax: 775-499-5982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number9784
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number9784
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: