Connell, David K
Connell, David K is an sole proprietor health care provider with primary practice located at 1011 N Byrne Rd , Toledo OH 43607-2710. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Connell, David K can be contacted via phone (419) 788-7019.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4675 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4675 | Ohio |
Profile Details
| NPI number | 1750387577 |
|---|---|
| LBN Legal business name | Connell, David K |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 19th, 2013 - about 13 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 | 1750387577 | NPPES |
| Ohio | MEDICAID | 2332676 | |
| Ohio | Other | 463779000 | |
| Ohio | Other | 000000503824 | |
| Ohio | Other | 5692018 | |
| Ohio | Other | 291267 | |
| Ohio | Other | P00322126 |
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