Mabe, Walter

Mabe, Walter is an individual health care provider with primary practice located at 54 E Ramsdell St , New Haven CT 06515-1140. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mabe, Walter can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
54 E Ramsdell St New Haven CT 06515-1140
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1441 Connecticut

Profile Details

NPI number 1629729553
LBN Legal business name Mabe, Walter
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2022
Last updated Feb 14th, 2022 - about 3 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 1629729553 NPPES
Connecticut MEDICAID 008039745
Connecticut MEDICAID 008042339
Connecticut MEDICAID 008023170
Connecticut MEDICAID 008107965
Connecticut MEDICAID 008024427

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