Connolly, Mark William
Connolly, Mark William is an sole proprietor health care provider with primary practice located at 252 S 4Th St , Lebanon PA 17042-6111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Connolly, Mark William can be contacted via phone (717) 270-3751.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MA74369 | New Jersey |
Profile Details
| NPI number | 1326010612 |
|---|---|
| LBN Legal business name | Connolly, Mark William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 15th, 2024 - about last year |
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 | 1326010612 | NPPES |
| New Jersey | Other | 060268 | MADICARE ID-TYPE UNSPECIFIED |
| New Jersey | MEDICAID | 6504906 | MADICARE ID-TYPE UNSPECIFIED |
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