Hallisey, Michael Joseph
Hallisey, Michael Joseph is an individual health care provider with primary practice located at 85 Seymour St Suite 200, Hartford CT 06106-5501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Hallisey, Michael Joseph can be contacted via phone (860) 246-6589.Contact Information
Primary practice address
85 Seymour St Suite 200
Hartford CT 06106-5501
Phone: (860) 246-6589
Fax: (860) 560-2849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 72006 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 029479 | Connecticut |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 72006 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 029479 | Connecticut |
Profile Details
| NPI number | 1821080235 |
|---|---|
| LBN Legal business name | Hallisey, Michael Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jan 15th, 2018 - about 7 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 | 1821080235 | NPPES |
| Connecticut | MEDICAID | 001294793 | |
| Connecticut | Other | 010029479CT08 |
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