Connor, Clint G

Connor, Clint G is an individual health care provider with primary practice located at 201 S 14Th St Herrin Hospital, Herrin IL 62948-3631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Connor, Clint G can be contacted via phone (618) 942-2171.

Contact Information

Primary practice address
201 S 14Th St Herrin Hospital Herrin IL 62948-3631
Fax: (618) 351-4929
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036108965 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036108965 Illinois

Profile Details

NPI number 1982684197
LBN Legal business name Connor, Clint G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 25th, 2010 - about 11 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 1982684197 NPPES
Illinois Other 3932056 BCBS
Illinois Other 555252 BCBS
Illinois MEDICAID 036108965 BCBS
Illinois Other 084974 BCBS
Illinois Other 721089 BCBS

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