Connolly, Matthew James
Connolly, Matthew James is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Connolly, Matthew James can be contacted via phone (859) 301-2663.Contact Information
Primary practice address
560 S Loop Rd
Edgewood KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 817-7848
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 244122 | Kentucky |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 00180 | Kentucky |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 00180 | Kentucky |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 244122 | Kentucky |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 244122 | Kentucky |
Profile Details
NPI number | 1023010279 |
---|---|
LBN Legal business name | Connolly, Matthew James |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Jul 7th, 2021 - about 3 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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