Mcconnell, Michael

Mcconnell, Michael is an individual health care provider with primary practice located at 19111 Town Center Dr , Apple Valley CA 92308-8989. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mcconnell, Michael can be contacted via phone (716) 316-2248.

Contact Information

Primary practice address
19111 Town Center Dr Apple Valley CA 92308-8989
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.139705 Illinois

Profile Details

NPI number 1669791893
LBN Legal business name Mcconnell, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2010
Last updated Mar 31st, 2023 - about last year

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 1669791893 NPPES
Illinois Other 036.139705 MEDICAL LICENSE

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