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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689757502 | NPPES |
| Kentucky | MEDICAID | 64154818 |
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