Conaughty, Martin J
Conaughty, Martin J is an individual health care provider with primary practice located at 1415 W Highway 50 , O Fallon IL 62269-1618. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Conaughty, Martin J can be contacted via phone (618) 624-4471.Contact Information
Primary practice address
1415 W Highway 50
O Fallon IL 62269-1618
Phone: (618) 624-4471
Fax: (618) 624-4496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 3301 | Illinois |
Profile Details
| NPI number | 1265064554 |
|---|---|
| LBN Legal business name | Conaughty, Martin J |
| Credentials | HIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2020 |
| Last updated | Feb 5th, 2020 - about 4 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 | 1265064554 | NPPES |
| Illinois | Other | 3301 | HEARING AID DISPENSER LICENSE |
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