Connelly, Detta

Connelly, Detta is an sole proprietor health care provider with primary practice located at 2348 Kinmere Dr , Gastonia NC 28056-7812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as her primary health care specialty. Connelly, Detta can be contacted via phone (704) 674-4935.

Contact Information

Primary practice address
2348 Kinmere Dr Gastonia NC 28056-7812
Phone: (704) 674-4935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 4-6287 North Carolina

Profile Details

NPI number 1700654407
LBN Legal business name Connelly, Detta
Credentials PHLEBOTOMIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2023
Last updated Dec 13th, 2023 - about 2 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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