Hale, Mahlon
Hale, Mahlon is an individual health care provider with primary practice located at 65 Kane St Provider Enrollment, 2Nd Floor, West Hartford CT 06119-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hale, Mahlon can be contacted via phone (860) 523-6421.Contact Information
Primary practice address
65 Kane St Provider Enrollment, 2Nd Floor
West Hartford CT 06119-2110
Phone: (860) 523-6421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 017034 | Connecticut |
Profile Details
| NPI number | 1326025230 |
|---|---|
| LBN Legal business name | Hale, Mahlon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jun 3rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326025230 | NPPES |
| Connecticut | MEDICAID | 1170349 |
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