Connolly, Andrew J
Connolly, Andrew J is an individual health care provider with primary practice located at 951 Main St Ste 120 , Union Grove WI 53182-1074. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Connolly, Andrew J can be contacted via phone (800) 974-4378.Contact Information
Primary practice address
951 Main St Ste 120
Union Grove WI 53182-1074
Phone: (800) 974-4378
Fax: (630) 515-1536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5392-024 | Wisconsin |
Profile Details
| NPI number | 1891717229 |
|---|---|
| LBN Legal business name | Connolly, Andrew J |
| Credentials | PT, OCS, FAAOMPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891717229 | NPPES |
| Wisconsin | MEDICAID | 40306500 |
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