Lally, John H
Lally, John H is an sole proprietor health care provider with primary practice located at 9C Pasco Dr , East Windsor CT 06088-1707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Lally, John H can be contacted via phone (860) 490-9886.Contact Information
Primary practice address
9C Pasco Dr
East Windsor CT 06088-1707
Phone: (860) 490-9886
Fax: (860) 627-0400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 003637 | Connecticut |
Profile Details
| NPI number | 1558542670 |
|---|---|
| LBN Legal business name | Lally, John H |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Jun 5th, 2009 - about 15 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 | 1558542670 | NPPES |
| Connecticut | MEDICAID | 500000024 |
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