Reale, Michael A
Reale, Michael A is an individual health care provider with primary practice located at 100 Haynes St 2Nd Floor, Manchester CT 06040-4113. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Other Service Providers / Specialist is his primary health care specialty. Reale, Michael A can be contacted via phone (860) 646-0670.Contact Information
Primary practice address
100 Haynes St 2Nd Floor
Manchester CT 06040-4113
Phone: (860) 646-0670
Fax: (860) 643-9388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 030634 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 030634 | Connecticut |
Profile Details
| NPI number | 1992774434 |
|---|---|
| LBN Legal business name | Reale, Michael A |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 7th, 2013 - about 12 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 | 1992774434 | NPPES |
| Connecticut | MEDICAID | 001306340 |
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