Connell, Thomas

Connell, Thomas is an individual health care provider with primary practice located at 1440 Russell Rd , Paoli PA 19301-1236. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Connell, Thomas can be contacted via phone (610) 644-6464.

Contact Information

Primary practice address
1440 Russell Rd Paoli PA 19301-1236
Phone: (610) 644-6464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001686 Pennsylvania

Profile Details

NPI number 1619089240
LBN Legal business name Connell, Thomas
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1619089240 NPPES
Pennsylvania Other 2321741000 IBC

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