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
Phone: (860) 582-3235
Fax: (860) 582-0692
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316989916 | NPPES |
| Connecticut | MEDICAID | 001252279 |
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