Connolly, Randy Wain

Connolly, Randy Wain is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir Ste 1100 , Portsmouth VA 23708-2111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Connolly, Randy Wain can be contacted via phone (757) 953-0765.

Contact Information

Primary practice address
620 John Paul Jones Cir Ste 1100 Portsmouth VA 23708-2111
Phone: (757) 953-0765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 0102201963 Virginia
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 0102201963 Virginia

Profile Details

NPI number 1164594628
LBN Legal business name Connolly, Randy Wain
Credentials DO, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated May 31st, 2023 - about last year

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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