Connelly, Jan Stuart
Connelly, Jan Stuart is an individual health care provider with primary practice located at 217 W Cataldo , Spokane WA 99201-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Connelly, Jan Stuart can be contacted via phone (509) 624-2326.Contact Information
Primary practice address
217 W Cataldo
Spokane WA 99201-2217
Phone: (509) 624-2326
Fax: (509) 744-3040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD000019284 | Washington |
Profile Details
| NPI number | 1972554046 |
|---|---|
| LBN Legal business name | Connelly, Jan Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Mar 16th, 2010 - about 14 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 | 1972554046 | NPPES |
| Washington | Other | 99107 | L & I |
| Washington | MEDICAID | 1784701 | L & I |
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