Mcconnell, Jane M

Mcconnell, Jane M is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mcconnell, Jane M can be contacted via phone (910) 609-6350.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 009600148 North Carolina

Profile Details

NPI number 1609876317
LBN Legal business name Mcconnell, Jane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Mar 10th, 2010 - about 14 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 1609876317 NPPES
North Carolina MEDICAID 89127T1
North Carolina Other D0065
North Carolina Other 127T1

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