Conner, George W

Conner, George W is an individual health care provider with primary practice located at 17 Sherman St , Jamestown NY 14701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Conner, George W can be contacted via phone (716) 484-0173.

Contact Information

Primary practice address
17 Sherman St Jamestown NY 14701
Phone: (716) 484-0173
Fax: (716) 484-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 139892 New York

Profile Details

NPI number 1841249117
LBN Legal business name Conner, George W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jan 13th, 2012 - about 13 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 1841249117 NPPES
New York Other 00010261801 UNIVERA HEALTHCARE
New York Other 1706450 UNIVERA HEALTHCARE
New York Other 000508598003 UNIVERA HEALTHCARE
New York MEDICAID 00686815 UNIVERA HEALTHCARE

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