Connor, Charles Dobbin

Connor, Charles Dobbin is an sole proprietor health care provider with primary practice located at 22 Professional Park Dr , Maryville IL 62062-5669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Connor, Charles Dobbin can be contacted via phone (618) 288-0998.

Contact Information

Primary practice address
22 Professional Park Dr Maryville IL 62062-5669
Phone: (618) 288-0998
Fax: (618) 288-9934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X Illinois

Profile Details

NPI number 1992763353
LBN Legal business name Connor, Charles Dobbin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Dec 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992763353 NPPES
Illinois Other 4233211 AETNA
Illinois Other 06032047 AETNA
Illinois Other 127279 AETNA
Illinois Other 2119084 AETNA
Illinois Other 5226143 AETNA
Illinois Other 1736541 AETNA
Illinois Other 0300073 AETNA
Illinois Other 294801 AETNA
Illinois Other 2644579 AETNA
Illinois Other G37507 AETNA

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