Connely, Thomas Vernon

Connely, Thomas Vernon is an individual health care provider with primary practice located at 615 West 39Th Street , Kearney NE 68845-8001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Connely, Thomas Vernon can be contacted via phone (308) 865-2277.

Contact Information

Primary practice address
615 West 39Th Street Kearney NE 68845-8001
Phone: (308) 865-2277
Fax: (308) 865-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 18319 Nebraska

Profile Details

NPI number 1669462305
LBN Legal business name Connely, Thomas Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1669462305 NPPES
Nebraska Other 07313 BCBS
Nebraska MEDICAID 47077661913 BCBS

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