Connolly, Sky B
Connolly, Sky B is an individual health care provider with primary practice located at 5310 Homestead Rd Ne Suite 301, Albuquerque NM 87110-1437. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Connolly, Sky B can be contacted via phone (505) 872-4700.Contact Information
Primary practice address
5310 Homestead Rd Ne Suite 301
Albuquerque NM 87110-1437
Phone: (505) 872-4700
Fax: (505) 872-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2000166 | New Mexico |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2000166 | New Mexico |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2000166 | New Mexico |
Profile Details
| NPI number | 1194710442 |
|---|---|
| LBN Legal business name | Connolly, Sky B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jan 3rd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194710442 | NPPES |
| New Mexico | Other | NM009032 | BCBS |
| New Mexico | Other | 070015106 | BCBS |
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