Connell, James Vincent

Connell, James Vincent is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Connell, James Vincent can be contacted via phone (319) 235-3716.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1916
Phone: (319) 235-3716
Fax: (319) 233-1630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21127 Iowa

Profile Details

NPI number 1083656995
LBN Legal business name Connell, James Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1083656995 NPPES
Iowa MEDICAID 0482950
Iowa Other 08701
Iowa Other 421417307K8

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