Connolly, John O
Connolly, John O is an individual health care provider with primary practice located at 1537 E Hill Rd Suite 400, Grand Blanc MI 48439-5127. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Connolly, John O can be contacted via phone (810) 603-1100.Contact Information
Primary practice address
1537 E Hill Rd Suite 400
Grand Blanc MI 48439-5127
Phone: (810) 603-1100
Fax: (810) 603-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501008594 | Michigan |
Profile Details
| NPI number | 1194863035 |
|---|---|
| LBN Legal business name | Connolly, John O |
| Credentials | MBA PT ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Dec 4th, 2009 - about 15 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 | 1194863035 | NPPES |
| Other | CB0923 | GRP RR MEDICARE | |
| Other | 0N45090 | GRP RR MEDICARE |
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