Conners, Jerry W

Conners, Jerry W is an individual health care provider with primary practice located at 40 N Grand Ave Suite 200, Fort Thomas KY 41075-4107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Conners, Jerry W can be contacted via phone (859) 781-2700.

Contact Information

Primary practice address
40 N Grand Ave Suite 200 Fort Thomas KY 41075-4107
Phone: (859) 781-2700
Fax: (859) 781-2712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15481 Kentucky

Profile Details

NPI number 1689757502
LBN Legal business name Conners, Jerry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Oct 30th, 2007 - about 17 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 1689757502 NPPES
Kentucky MEDICAID 64154818

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