Connolly, Courtney
Connolly, Courtney is an sole proprietor health care provider with primary practice located at 14502 W Meeker Blvd Banner Del E. Webb Emergency Dept, Sun City West AZ 85375-5282. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Connolly, Courtney can be contacted via phone (623) 524-4067.Contact Information
Primary practice address
14502 W Meeker Blvd Banner Del E. Webb Emergency Dept
Sun City West AZ 85375-5282
Phone: (623) 524-4067
Fax: (623) 524-4182
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 27-1369141 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6176 | Arizona |
Profile Details
NPI number | 1346625183 |
---|---|
LBN Legal business name | Connolly, Courtney |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 22nd, 2015 |
Last updated | Aug 31st, 2016 - about 8 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 | 1346625183 | NPPES |
Arizona | Other | IN PROCESS | THE MUTUAL |
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