Connell, Patricia C

Connell, Patricia C is an individual health care provider with primary practice located at 2055 Kimball Ave Suite 100, Waterloo IA 50702-5014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connell, Patricia C can be contacted via phone (319) 272-2112.

Contact Information

Primary practice address
2055 Kimball Ave Suite 100 Waterloo IA 50702-5014
Phone: (319) 272-2112
Fax: (319) 272-2107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21128 Iowa

Profile Details

NPI number 1073510715
LBN Legal business name Connell, Patricia C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 6th, 2008 - about 16 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 1073510715 NPPES
Iowa MEDICAID 0195354
Iowa Other 1187664

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