Conner, Douglas Allen

Conner, Douglas Allen is an individual health care provider with primary practice located at 413 S Loop Rd St Elizabeth Family Practice Center, Edgewood KY 41017-5446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conner, Douglas Allen can be contacted via phone (859) 301-3800.

Contact Information

Primary practice address
413 S Loop Rd St Elizabeth Family Practice Center Edgewood KY 41017-5446
Phone: (859) 301-3800
Fax: (859) 301-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28181 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01067451A Indiana

Profile Details

NPI number 1720048093
LBN Legal business name Conner, Douglas Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 8th, 2017 - about 7 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 1720048093 NPPES
Ohio MEDICAID 2213661
Ohio MEDICAID 7100439330
Ohio MEDICAID 200407600

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