Connolly, Thomas L

Connolly, Thomas L is an individual health care provider with primary practice located at 7710 Mercy Rd Suite 601, Omaha NE 68124-2372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Connolly, Thomas L can be contacted via phone (402) 397-5236.

Contact Information

Primary practice address
7710 Mercy Rd Suite 601 Omaha NE 68124-2372
Phone: (402) 397-5236
Fax: (402) 397-7849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 11049 Nebraska

Profile Details

NPI number 1023031796
LBN Legal business name Connolly, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 9th, 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 1023031796 NPPES
Nebraska Other 03553 BLUE CROSS BLUE SHIELD NE

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