Krall, Michael Lance
Krall, Michael Lance is an individual health care provider with primary practice located at 19 Woodland Street Suite 11, Hartford CT 06105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Krall, Michael Lance can be contacted via phone (860) 246-7273.Contact Information
Primary practice address
19 Woodland Street Suite 11
Hartford CT 06105
Phone: (860) 246-7273
Fax: (860) 246-5828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 026257 | Connecticut |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 026257 | Connecticut |
Profile Details
| NPI number | 1811960685 |
|---|---|
| LBN Legal business name | Krall, Michael Lance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 13th, 2010 - about 16 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 | 1811960685 | NPPES |
| Connecticut | MEDICAID | 001262575 |
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