Connell, Michael Charles

Connell, Michael Charles is an individual health care provider with primary practice located at 3 Irongate Ctr , Glens Falls NY 12801-3471. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Connell, Michael Charles can be contacted via phone (518) 793-4409.

Contact Information

Primary practice address
3 Irongate Ctr Glens Falls NY 12801-3471
Phone: (518) 793-4409
Fax: (518) 615-0140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002970 New York

Profile Details

NPI number 1568645083
LBN Legal business name Connell, Michael Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Jun 16th, 2018 - about 6 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 1568645083 NPPES
New York Other 002970 NYS LICENSE

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