Donnelly, Walter Gerard

Donnelly, Walter Gerard is an sole proprietor health care provider with primary practice located at 29 Hospital Hill Rd Suite #1100, Sharon CT 06069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Donnelly, Walter Gerard can be contacted via phone (860) 364-5646.

Contact Information

Primary practice address
29 Hospital Hill Rd Suite #1100 Sharon CT 06069
Phone: (860) 364-5646
Fax: (860) 364-5265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 018261 Connecticut

Profile Details

NPI number 1164435301
LBN Legal business name Donnelly, Walter Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1164435301 NPPES
Other 010018261CT01 ANTHEM BLUE CROSS BLUE SH
Other 040220 ANTHEM BLUE CROSS BLUE SH
MEDICAID 00508470 ANTHEM BLUE CROSS BLUE SH

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