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CONNERY PEDIATRICS LLC NPI 1346529724


NPI Information

NPI: 1346529724
Provider Name: CONNERY PEDIATRICS, LLC

Doing Business As: BRICKYARD PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 15D2029550

Address:
170 BRACKEN PKWY
HOBART, IN
ZIP 46342
Phone: (219) 940-9605
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CONNERY PEDIATRICS, LLC is a pediatrics in Hobart, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CONNERY PEDIATRICS, LLC NPI is 1346529724. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brickyard Pediatrics.

The provider's business location address is:

170 BRACKEN PKWY
HOBART, IN
ZIP 46342-789
Phone: (219) 940-9605
Fax: (219) 940-9606

The provider's authorized official is Marc A Connery .
The authorized official title is Owner and has the following contact phone number (219) 942-7156.

The CLIA number assigned to this NPI record is 15D2029550 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 10/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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