Lavallee, Michael A
Lavallee, Michael A is an individual health care provider with primary practice located at 4 Shaws Cv Suite 204, New London CT 06320-4956. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Lavallee, Michael A can be contacted via phone (860) 447-2377.Contact Information
Primary practice address
4 Shaws Cv Suite 204
New London CT 06320-4956
Phone: (860) 447-2377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 051963 | Connecticut |
Profile Details
| NPI number | 1447486741 |
|---|---|
| LBN Legal business name | Lavallee, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2009 |
| Last updated | May 29th, 2013 - about 11 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 | 1447486741 | NPPES |
| Connecticut | Other | 051963 | LICENSE |
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