Connolly, Thomas Carroll

Connolly, Thomas Carroll is an individual health care provider with primary practice located at 1020 Thompson St , Jersey Shore PA 17740-1729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Connolly, Thomas Carroll can be contacted via phone (570) 398-1991.

Contact Information

Primary practice address
1020 Thompson St Jersey Shore PA 17740-1729
Phone: (570) 398-1991
Fax: (570) 398-4607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD035105E Pennsylvania

Profile Details

NPI number 1922091123
LBN Legal business name Connolly, Thomas Carroll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about 2 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 1922091123 NPPES
Pennsylvania MEDICAID 01791311

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