Connelly, Mark John
Connelly, Mark John is an individual health care provider with primary practice located at 911 E State St Suite C, Saint Johns MI 48879-1684. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Connelly, Mark John can be contacted via phone (989) 224-2379.Contact Information
Primary practice address
911 E State St Suite C
Saint Johns MI 48879-1684
Phone: (989) 224-2379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13432 | Michigan |
Profile Details
| NPI number | 1235168683 |
|---|---|
| LBN Legal business name | Connelly, Mark John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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