Connelly, George Martin
Connelly, George Martin is an individual health care provider with primary practice located at 1436 Exchange St , Middlebury VT 05753-1185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Connelly, George Martin can be contacted via phone (802) 388-3194.Contact Information
Primary practice address
1436 Exchange St
Middlebury VT 05753-1185
Phone: (802) 388-3194
Fax: (802) 388-4881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0550030564 | Vermont |
Profile Details
| NPI number | 1174511802 |
|---|---|
| LBN Legal business name | Connelly, George Martin |
| Credentials | PA-C, MHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 23rd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511802 | NPPES |
| Vermont | MEDICAID | 2001415 |
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