Connelly, Weston
Connelly, Weston is an individual health care provider with primary practice located at 6237 66Th St N , Pinellas Park FL 33781-5025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Connelly, Weston can be contacted via phone (727) 544-2284.Contact Information
Primary practice address
6237 66Th St N
Pinellas Park FL 33781-5025
Phone: (727) 544-2284
Fax: (727) 541-7984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS11065 | Florida |
Profile Details
| NPI number | 1760715833 |
|---|---|
| LBN Legal business name | Connelly, Weston |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2009 |
| Last updated | Oct 2nd, 2012 - about 12 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 | 1760715833 | NPPES |
| Florida | MEDICAID | 002755800 | |
| Florida | Other | 14F90 |
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