Connor, John T

Connor, John T is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Connor, John T can be contacted via phone (682) 885-1475.

Contact Information

Primary practice address
801 7Th Ave Fort Worth TX 76104-2733
Phone: (682) 885-1475
Fax: (682) 885-7520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 640797 Texas

Profile Details

NPI number 1477758688
LBN Legal business name Connor, John T
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Apr 3rd, 2012 - about 13 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 1477758688 NPPES
Texas MEDICAID 282160501
Texas Other 282160502

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