Connelly, Charles Edmund
Connelly, Charles Edmund is an individual health care provider with primary practice located at 406 Lecompte Street , Cambridge MD 21613. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Connelly, Charles Edmund can be contacted via phone (410) 228-8770.Contact Information
Primary practice address
406 Lecompte Street
Cambridge MD 21613
Phone: (410) 228-8770
Fax: (410) 228-0598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4797 | Maryland |
Profile Details
| NPI number | 1497890669 |
|---|---|
| LBN Legal business name | Connelly, Charles Edmund |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497890669 | NPPES |
| Other | 2036 | CARE FIRST BCBS |
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