Connor, Michelle Ann

Connor, Michelle Ann is an individual health care provider with primary practice located at 12165 Elm St , Princess Anne MD 21853-1358. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Connor, Michelle Ann can be contacted via phone (410) 651-5151.

Contact Information

Primary practice address
12165 Elm St Princess Anne MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6192 Maryland

Profile Details

NPI number 1710394630
LBN Legal business name Connor, Michelle Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Mar 11th, 2016 - about 9 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 1710394630 NPPES
Maryland MEDICAID 119591300

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