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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 1346625183 NPPES
Arizona Other IN PROCESS THE MUTUAL

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