Individual
MR. ERNEST HALLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 SUMMIT ST, HARTFORD, CT 06106-3100
(860) 297-2575
Mailing address
32 WINTHROP DR, HEBRON, CT 06248-1249
(860) 228-4489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000283
CT
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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