Connolly, Stephen G
Connolly, Stephen G is an individual health care provider with primary practice located at 2131 N California St , Stockton CA 95204-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as his primary health care specialty. Connolly, Stephen G can be contacted via phone (209) 473-6555.Contact Information
Primary practice address
2131 N California St
Stockton CA 95204-6030
Phone: (209) 473-6555
Fax: (209) 473-6544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | G588210 | California |
Profile Details
| NPI number | 1487688818 |
|---|---|
| LBN Legal business name | Connolly, Stephen G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487688818 | NPPES |
| California | Other | G58821 | STATE LICENSE |
| California | MEDICAID | 00G588210 | STATE LICENSE |
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