Connor, Justin R
Connor, Justin R is an individual health care provider with primary practice located at 1057 S Bradford St , Dover DE 19904-4141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Connor, Justin R can be contacted via phone (302) 231-1245.Contact Information
Primary practice address
1057 S Bradford St
Dover DE 19904-4141
Phone: (302) 231-1245
Fax: (302) 231-1246
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 530196961 | District of Columbia |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | C7-0004483 | Delaware |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | C1-0009837 | Delaware |
Profile Details
NPI number | 1639333107 |
---|---|
LBN Legal business name | Connor, Justin R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2008 |
Last updated | Feb 10th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639333107 | NPPES |
Kansas | MEDICAID | 201159650A | |
Kansas | MEDICAID | 250499212 |
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