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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1326025230 NPPES
Connecticut MEDICAID 1170349

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