Connolly, Matthew Mark

Connolly, Matthew Mark is an individual health care provider with primary practice located at 31946 Mission Trl Ste B , Lake Elsinore CA 92530-4539. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Connolly, Matthew Mark can be contacted via phone (951) 471-4300.

Contact Information

Primary practice address
31946 Mission Trl Ste B Lake Elsinore CA 92530-4539
Phone: (951) 471-4300
Fax: (951) 674-6431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1548868169
LBN Legal business name Connolly, Matthew Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Jul 21st, 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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