NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHAEL S CONNOLLY, MD
12391 S 4000 W
RIVERTON, UT84096-7012
 Phone: 801-302-1700
 Fax: 801-302-1714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MICHAEL S CONNOLLY · (Male)

NPI Number 1003014374
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2007
Last updated 05/13/2013 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 6150978-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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