Connelly, John E
Connelly, John E is an individual health care provider with primary practice located at 501 N 17Th St Suite # 108, Allentown PA 18104-5044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Connelly, John E can be contacted via phone (610) 434-4760.Contact Information
Primary practice address
501 N 17Th St Suite # 108
Allentown PA 18104-5044
Phone: (610) 434-4760
Fax: (610) 820-9122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS007130L | Pennsylvania |
Profile Details
| NPI number | 1013982867 |
|---|---|
| LBN Legal business name | Connelly, John E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Dec 22nd, 2011 - 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 | 1013982867 | NPPES |
| Pennsylvania | MEDICAID | 0012679810004 |
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