Whaley, Michael L

Whaley, Michael L is an individual health care provider with primary practice located at 22 Pine Street Suite 304, Bristol CT 06010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Whaley, Michael L can be contacted via phone (860) 582-3235.

Contact Information

Primary practice address
22 Pine Street Suite 304 Bristol CT 06010
Fax: (860) 582-0692
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 025227 Connecticut

Profile Details

NPI number 1316989916
LBN Legal business name Whaley, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 13th, 2012 - about 13 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 1316989916 NPPES
Connecticut MEDICAID 001252279

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