Connors, John T
Connors, John T is an individual health care provider with primary practice located at 359 Medical Group 221 Third Street West, Bldg. 1040, Jbsa-Randolph Afb TX 78150. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Connors, John T can be contacted via phone (201) 652-4264.Contact Information
Primary practice address
359 Medical Group 221 Third Street West, Bldg. 1040
Jbsa-Randolph Afb TX 78150
Phone: (201) 652-4264
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 904871 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | TAP4120 | Arizona |
Profile Details
NPI number | 1477831121 |
---|---|
LBN Legal business name | Connors, John T |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2011 |
Last updated | Feb 22nd, 2022 - about 3 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 | 1477831121 | NPPES |
Mississippi | MEDICAID | 9183827 |
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