Connolly, Dominic

Connolly, Dominic is an individual health care provider with primary practice located at 12040 Ne 128Th St , Kirkland WA 98034-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Connolly, Dominic can be contacted via phone (425) 899-1000.

Contact Information

Primary practice address
12040 Ne 128Th St Kirkland WA 98034-3013
Phone: (425) 899-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00040730 Washington

Profile Details

NPI number 1093754269
LBN Legal business name Connolly, Dominic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 4th, 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 1093754269 NPPES
Other P00287612 RAILROAD MEDICARE
Other H58804 RAILROAD MEDICARE
Other 204018 RAILROAD MEDICARE
MEDICAID 8323958 RAILROAD MEDICARE
Other 0730CO RAILROAD MEDICARE
Other 8940418 RAILROAD MEDICARE

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