Dela'O, Connie M
Dela'O, Connie M is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506-1200. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Dela'O, Connie M can be contacted via phone (304) 598-4800.Contact Information
Primary practice address
1 Medical Center Dr
Morgantown WV 26506-1200
Phone: (304) 598-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2016-01415 | North Carolina |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | U7410 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | North Carolina | |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 27615 | West Virginia |
Profile Details
| NPI number | 1760648703 |
|---|---|
| LBN Legal business name | Dela'O, Connie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Nov 2nd, 2023 - about 3 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 | 1760648703 | NPPES |
| North Carolina | MEDICAID | 1760648703 | |
| North Carolina | MEDICAID | 1760648703 | |
| North Carolina | Other | 19KJX |
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