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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1174511802 NPPES
Vermont MEDICAID 2001415

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