Conner, Gary J
Conner, Gary J is an individual health care provider with primary practice located at 1 Wyoming St Suite 4130, Dayton OH 45409-2722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Conner, Gary J can be contacted via phone (937) 208-6810.Contact Information
Primary practice address
1 Wyoming St Suite 4130
Dayton OH 45409-2722
Phone: (937) 208-6810
Fax: (937) 222-7255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD024974E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 20076 | Mississippi |
Profile Details
| NPI number | 1568576205 |
|---|---|
| LBN Legal business name | Conner, Gary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Nov 23rd, 2010 - about 15 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 | 1568576205 | NPPES |
| Pennsylvania | MEDICAID | 001403635-0015 | |
| Pennsylvania | Other | 19587 | |
| Pennsylvania | Other | 512G700003 | |
| Pennsylvania | Other | P00707005 | |
| Pennsylvania | Other | 03479303 | |
| Pennsylvania | Other | C30324 |
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