Jan S Connelly Md

LBN: Spokane Ent Clinic Mayfair
Jan S Connelly Md is an health care organization with primary practice located at 5901 N Mayfair St , Spokane WA 99208-5096. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Spokane Ent Clinic Mayfair can be contacted via phone (509) 489-3514, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
5901 N Mayfair St Spokane WA 99208-5096
Phone: (509) 489-3514
Fax: (509) 483-2546
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X MD00019284 Washington

Profile Details

NPI number 1033154273
LBN Legal business name Spokane Ent Clinic Mayfair
DBA Doing business as Jan S Connelly Md
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033154273 NPPES
Other 4931906 OTHER ID NUMBER-COMMERCIAL NUMBER

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