Wahl, Rebecca

Wahl, Rebecca is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Wahl, Rebecca can be contacted via phone (860) 344-6394.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Fax: (860) 344-6748
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 037024 Connecticut

Profile Details

NPI number 1639210479
LBN Legal business name Wahl, Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639210479 NPPES
Connecticut Other 037024 CT LICENSE

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