Healthcare Provider Details

I. General information

NPI: 1164414264
Provider Name (Legal Business Name): PHILIP T HALAPIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 GREENHOUSE RD
LEXINGTON VA
24450-3717
US

IV. Provider business mailing address

241 GREENHOUSE RD
LEXINGTON VA
24450-3717
US

V. Phone/Fax

Practice location:
  • Phone: 540-463-3141
  • Fax: 540-464-4051
Mailing address:
  • Phone: 540-463-3141
  • Fax: 540-464-4051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101027748
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101027748
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: