Connell, Colin T

Connell, Colin T is an individual health care provider with primary practice located at 752 N High Point Rd , Madison WI 53717-2236. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Connell, Colin T can be contacted via phone (608) 824-4000.

Contact Information

Primary practice address
752 N High Point Rd Madison WI 53717-2236
Fax: (608) 824-4349
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 771-025 Wisconsin

Profile Details

NPI number 1356307797
LBN Legal business name Connell, Colin T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 5th, 2020 - about 5 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 1356307797 NPPES
Wisconsin MEDICAID 1356307797

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