Connolly, Mary Ellen
Connolly, Mary Ellen is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Connolly, Mary Ellen can be contacted via phone (410) 328-6897.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 328-6897
Fax: (410) 328-2109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | R085542 | Maryland |
Profile Details
| NPI number | 1073537205 |
|---|---|
| LBN Legal business name | Connolly, Mary Ellen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Feb 4th, 2008 - about 17 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 | 1073537205 | NPPES |
| Maryland | Other | 64470401 | BLUE SHIELD |
| Maryland | Other | 0101 | BLUE SHIELD |
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