Stahl, Kent I
Stahl, Kent I is an individual health care provider with primary practice located at 1025 Silas Deane Hwy , Wethersfield CT 06109-4229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stahl, Kent I can be contacted via phone (860) 696-2400.Contact Information
Primary practice address
1025 Silas Deane Hwy
Wethersfield CT 06109-4229
Phone: (860) 696-2400
Fax: (860) 696-2410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 022955 | Connecticut |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 022955 | Connecticut |
Profile Details
| NPI number | 1376529818 |
|---|---|
| LBN Legal business name | Stahl, Kent I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jul 31st, 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 | 1376529818 | NPPES |
| Connecticut | MEDICAID | 001229558 |
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