Connelly, Steven M

Connelly, Steven M is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , Saint Louis Park MN 55416-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Connelly, Steven M can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
3800 Park Nicollet Blvd Saint Louis Park MN 55416-2527
Phone: (952) 993-3123
Fax: (952) 993-3286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 40902 Minnesota

Profile Details

NPI number 1508844432
LBN Legal business name Connelly, Steven M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 1st, 2016 - about 8 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 1508844432 NPPES
Minnesota MEDICAID 357718000

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