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Contact Information

TODD J CONNELL
17100 W NORTH AVE
SUITE 102
BROOKFIELD, WI53005-4436
 Phone: 262-786-7886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for TODD J CONNELL · (Male)

NPI # 1013090091
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # A4285
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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