Connors, Terence Vaughan

Connors, Terence Vaughan is an individual health care provider with primary practice located at 12909 Sw Pembroke Cir N , Lake Suzy FL 34269-6937. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Connors, Terence Vaughan can be contacted via phone (941) 255-0770.

Contact Information

Primary practice address
12909 Sw Pembroke Cir N Lake Suzy FL 34269-6937
Phone: (941) 255-0770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000805 New York

Profile Details

NPI number 1144201351
LBN Legal business name Connors, Terence Vaughan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 24th, 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 1144201351 NPPES
New York MEDICAID 02347859
New York Other P00012841

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