Mcconnell, John Carroll
Mcconnell, John Carroll is an individual health care provider with primary practice located at 4725 Wellington St , Greenville TX 75401-4945. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcconnell, John Carroll can be contacted via phone (903) 450-4242.Contact Information
Primary practice address
4725 Wellington St
Greenville TX 75401-4945
Phone: (903) 450-4242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E8702 | Texas |
Profile Details
| NPI number | 1316975584 |
|---|---|
| LBN Legal business name | Mcconnell, John Carroll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 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 | 1316975584 | NPPES |
| Texas | MEDICAID | 1218752-02 |
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