Connell, Michael Charles
Connell, Michael Charles is an individual health care provider with primary practice located at 3 Irongate Ctr , Glens Falls NY 12801-3471. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Connell, Michael Charles can be contacted via phone (518) 793-4409.Contact Information
Primary practice address
3 Irongate Ctr
Glens Falls NY 12801-3471
Phone: (518) 793-4409
Fax: (518) 615-0140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002970 | New York |
Profile Details
| NPI number | 1568645083 |
|---|---|
| LBN Legal business name | Connell, Michael Charles |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2007 |
| Last updated | Jun 16th, 2018 - about 8 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 | 1568645083 | NPPES |
| New York | Other | 002970 | NYS LICENSE |
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