Conner, Gary J

Conner, Gary J is an individual health care provider with primary practice located at 1 Wyoming St Suite 4130, Dayton OH 45409-2722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Conner, Gary J can be contacted via phone (937) 208-6810.

Contact Information

Primary practice address
1 Wyoming St Suite 4130 Dayton OH 45409-2722
Fax: (937) 222-7255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD024974E Pennsylvania
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 20076 Mississippi

Profile Details

NPI number 1568576205
LBN Legal business name Conner, Gary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 23rd, 2010 - about 15 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 1568576205 NPPES
Pennsylvania MEDICAID 001403635-0015
Pennsylvania Other 19587
Pennsylvania Other 512G700003
Pennsylvania Other P00707005
Pennsylvania Other 03479303
Pennsylvania Other C30324

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