Mcconnell, Jeremy

Mcconnell, Jeremy is an individual health care provider with primary practice located at 5717 21St Ave West , Bradenton FL 34209. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Mcconnell, Jeremy can be contacted via phone (941) 792-8383.

Contact Information

Primary practice address
5717 21St Ave West Bradenton FL 34209
Phone: (941) 792-8383
Fax: (941) 792-8484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME83356 Florida
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X ME83356 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X ME83356 Florida

Profile Details

NPI number 1700871969
LBN Legal business name Mcconnell, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Nov 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700871969 NPPES
Florida MEDICAID 266997800
Florida Other 1700871969

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