Connelly, Mary Olsen
Connelly, Mary Olsen is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Connelly, Mary Olsen can be contacted via phone (520) 795-8188.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 68491 | Arizona |
Profile Details
| NPI number | 1114972783 |
|---|---|
| LBN Legal business name | Connelly, Mary Olsen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Aug 18th, 2021 - about 5 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 | 1114972783 | NPPES |
| Arizona | MEDICAID | 937295 |
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