Mcconnell, Elizabeth J

Mcconnell, Elizabeth J is an sole proprietor health care provider with primary practice located at 6245 N 16Th St , Phoenix AZ 85016-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Mcconnell, Elizabeth J can be contacted via phone (602) 253-4271.

Contact Information

Primary practice address
6245 N 16Th St Phoenix AZ 85016-1706
Fax: (602) 253-4273
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 28532 Arizona

Profile Details

NPI number 1952393761
LBN Legal business name Mcconnell, Elizabeth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Nov 30th, 2011 - about 15 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 1952393761 NPPES
Arizona MEDICAID 526874

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