Connery, Marc

Connery, Marc is an sole proprietor health care provider with primary practice located at 170 Bracken Pkwy , Hobart IN 46342-6789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Connery, Marc can be contacted via phone (219) 942-7156.

Contact Information

Primary practice address
170 Bracken Pkwy Hobart IN 46342-6789
Phone: (219) 942-7156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01049420A Indiana

Profile Details

NPI number 1689674608
LBN Legal business name Connery, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Sep 9th, 2011 - about 14 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 1689674608 NPPES
Indiana Other 000000354497 ANTHEM
Indiana MEDICAID 200330540 ANTHEM

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