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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811960685 NPPES
Connecticut MEDICAID 001262575

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