Connolly, Mary Lee

Connolly, Mary Lee is an sole proprietor health care provider with primary practice located at 724 Sawyer St , South Portland ME 04106-4619. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Connolly, Mary Lee can be contacted via phone (207) 749-7942.

Contact Information

Primary practice address
724 Sawyer St South Portland ME 04106-4619
Phone: (207) 749-7942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X AA Maine
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1477044238
LBN Legal business name Connolly, Mary Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2018
Last updated Dec 7th, 2020 - about 6 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 1477044238 NPPES
Maine Other 1477044238 OPTUM VA

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