Connolly, James L

Connolly, James L is an individual health care provider with primary practice located at 1420 N Causeway Blvd , Mandeville LA 70471-3104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Connolly, James L can be contacted via phone (985) 327-5905.

Contact Information

Primary practice address
1420 N Causeway Blvd Mandeville LA 70471-3104
Phone: (985) 327-5905
Fax: (205) 623-1080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME92995 Florida
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X MD205818 Louisiana

Profile Details

NPI number 1972589448
LBN Legal business name Connolly, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Oct 4th, 2016 - about 10 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 1972589448 NPPES
Louisiana Other 256408YKEN MEDICARE PTAN
Louisiana MEDICAID 2728320000 MEDICARE PTAN

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