BUELLTON MEDICAL CLINIC – NPI #1467664532
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BUELLTON MEDICAL CLINIC is a provider located in BUELLTON, CA. NPPES has assigned the NPI number 1467664532 to BUELLTON MEDICAL CLINIC on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BUELLTON MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is WOLFGANG C HALLAUER. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Jun 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BUELLTON MEDICAL CLINIC below.

NPI Profile for
WOLFGANG C HALLAUER

NPI Number
1467664532
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOLFGANG C HALLAUER
Doing Business As (dba): BUELLTON MEDICAL CLINIC
Primary location
185 W. HWY 246
SUITE 102
BUELLTON, CA 93427
Phone: (805) 686-8555 Fax: (805) 686-8556
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WOLFGANG HALLAUER
MEDICAL DIRECTOR
Phone: (805) 686-8555
Updated
Identifiers

Identifiers for BUELLTON MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0078780
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.