Connor, Chelsea Amanda

Connor, Chelsea Amanda is an sole proprietor health care provider with primary practice located at 1002 N Church St Ste 302 , Greensboro NC 27401-1449. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Connor, Chelsea Amanda can be contacted via phone (336) 387-8100.

Contact Information

Primary practice address
1002 N Church St Ste 302 Greensboro NC 27401-1449
Fax: (336) 387-8202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MMD.34738 LL South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 2017-00723 North Carolina

Profile Details

NPI number 1104187327
LBN Legal business name Connor, Chelsea Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 16th, 2018 - about 8 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 1104187327 NPPES
North Carolina MEDICAID 1104187327

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