Connelly, Matthew William

Connelly, Matthew William is an individual health care provider with primary practice located at 1701 N Senate Blvd Room Ag012, Indianapolis IN 46202-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Connelly, Matthew William can be contacted via phone (317) 962-3886.

Contact Information

Primary practice address
1701 N Senate Blvd Room Ag012 Indianapolis IN 46202-1239
Phone: (317) 962-3886
Fax: (317) 963-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01075584A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11017841A Indiana

Profile Details

NPI number 1194139402
LBN Legal business name Connelly, Matthew William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Jul 17th, 2015 - about 11 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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