Maille, Jackson P

Maille, Jackson P is an sole proprietor health care provider with primary practice located at 185 Center St Ste 2A, Wallingford CT 06492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maille, Jackson P can be contacted via phone (203) 679-0055.

Contact Information

Primary practice address
185 Center St Ste 2A Wallingford CT 06492
Phone: (203) 679-0055
Fax: (203) 679-0060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036274 Connecticut

Profile Details

NPI number 1255443479
LBN Legal business name Maille, Jackson P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Aug 17th, 2012 - about 14 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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