Conner, Ellen Louise
Conner, Ellen Louise is an individual health care provider with primary practice located at 19 Davis Ave Fl 7 , Neptune NJ 07753-4488. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Conner, Ellen Louise can be contacted via phone (732) 776-3797.Contact Information
Primary practice address
19 Davis Ave Fl 7
Neptune NJ 07753-4488
Phone: (732) 776-3797
Fax: (732) 776-3796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 25MA07702900 | New Jersey |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 25MA07702900 | New Jersey |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 25MA07702900 | New Jersey |
Profile Details
| NPI number | 1609867100 |
|---|---|
| LBN Legal business name | Conner, Ellen Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Nov 30th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609867100 | NPPES |
| New Jersey | MEDICAID | 0043214 |
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