Connor, Jared L
Connor, Jared L is an individual health care provider with primary practice located at 708 Will Halsey Way Ste A , Madison AL 35758-2566. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Connor, Jared L can be contacted via phone (256) 325-7425.Contact Information
Primary practice address
708 Will Halsey Way Ste A
Madison AL 35758-2566
Phone: (256) 325-7425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 1-109689 | Alabama |
Profile Details
| NPI number | 1992122303 |
|---|---|
| LBN Legal business name | Connor, Jared L |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2014 |
| Last updated | Aug 24th, 2020 - about 6 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 | 1992122303 | NPPES |
| Alabama | MEDICAID | 206070 |
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