Connelly, Gerard John

Connelly, Gerard John is an individual health care provider with primary practice located at 6900 N Pecos Rd , N Las Vegas NV 89086-4400. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Connelly, Gerard John can be contacted via phone (702) 791-9000.

Contact Information

Primary practice address
6900 N Pecos Rd N Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA873 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA873 Nevada

Profile Details

NPI number 1992774152
LBN Legal business name Connelly, Gerard John
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 29th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992774152 NPPES
Nevada MEDICAID 100504648
Nevada MEDICAID 991530

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