Mcconnell, Ezra Lee
Mcconnell, Ezra Lee is an individual health care provider with primary practice located at 557 Sandhurst Dr , Fayetteville NC 28304-4433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mcconnell, Ezra Lee can be contacted via phone (910) 484-8114.Contact Information
Primary practice address
557 Sandhurst Dr
Fayetteville NC 28304-4433
Phone: (910) 484-8114
Fax: (910) 484-1564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 9600077 | North Carolina |
Profile Details
| NPI number | 1245239144 |
|---|---|
| LBN Legal business name | Mcconnell, Ezra Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 21st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245239144 | NPPES |
| North Carolina | MEDICAID | 8956756 |
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