Connolly, Patti S.
Connolly, Patti S. is an individual health care provider with primary practice located at 250 Cetronia Road Suite 303, Allentown PA 18104-9168. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Connolly, Patti S. can be contacted via phone (610) 973-6200.Contact Information
Primary practice address
250 Cetronia Road Suite 303
Allentown PA 18104-9168
Phone: (610) 973-6200
Fax: (610) 973-6546
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA003385L | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA003385L | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA003385L | Pennsylvania |
Profile Details
NPI number | 1992799985 |
---|---|
LBN Legal business name | Connolly, Patti S. |
Credentials | PHYSICIAN ASSISTANT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2005 |
Last updated | Jul 31st, 2009 - about 15 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 | 1992799985 | NPPES |
Pennsylvania | Other | 03159201 | BLUE CROSS |
Pennsylvania | Other | 970016803 | BLUE CROSS |
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