Connolly, Amy G.

Connolly, Amy G. is an individual health care provider with primary practice located at 20400 W Warren Ave , Detroit MI 48228-3242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Connolly, Amy G. can be contacted via phone (313) 271-0500.

Contact Information

Primary practice address
20400 W Warren Ave Detroit MI 48228-3242
Phone: (313) 271-0500
Fax: (313) 271-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002695 Michigan

Profile Details

NPI number 1033106331
LBN Legal business name Connolly, Amy G.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2005
Last updated Jul 8th, 2007 - about 19 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 1033106331 NPPES
Other P00191570 RAILROAD MEDICARE

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