Connolly, William S
Connolly, William S is an individual health care provider with primary practice located at 420 S Jackson St , Pottsville PA 17901-3625. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Connolly, William S can be contacted via phone (570) 621-5325.Contact Information
Primary practice address
420 S Jackson St
Pottsville PA 17901-3625
Phone: (570) 621-5325
Fax: (570) 621-5806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OS002643L | Pennsylvania |
Profile Details
| NPI number | 1356337737 |
|---|---|
| LBN Legal business name | Connolly, William S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| 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 | 1356337737 | NPPES |
| Pennsylvania | MEDICAID | 0009230310005 |
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