Doctor Name: | WILLIAM S CONNOLLY |
NPI Number: | 1356337737 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS002643L |
Business Practice Address: | 420 S Jackson St Pottsville, PA - 179013625 |
Business Phone Number: | 5706215325 |
Business Fax Number: | 5706215806 |
Mailing Address: | 450 Washington St, Box 9 POTTSVILLE |
State: | PA |
Postal Code: | 179013655 |
Phone Number: | 5706215018 |
Fax Number: | 5706215806 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OS002643L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |