Connolly, Nicole Patricia

Connolly, Nicole Patricia is an individual health care provider with primary practice located at 19500 Sandridge Way Suite 110, Leesburg VA 20176-6821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Connolly, Nicole Patricia can be contacted via phone (703) 723-7337.

Contact Information

Primary practice address
19500 Sandridge Way Suite 110 Leesburg VA 20176-6821
Phone: (703) 723-7337
Fax: (703) 723-6848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101226970 Virginia

Profile Details

NPI number 1457344962
LBN Legal business name Connolly, Nicole Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Oct 15th, 2010 - about 14 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 1457344962 NPPES
Virginia MEDICAID 6706649

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