| Seamus Connolly, Do Inc | |
|
81880 Dr Carreon Blvd Ste B207 Indio CA 92201-5585 | |
| (442) 324-0014 | |
| (442) 324-0016 |
| Full Name | Seamus Connolly, Do Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 81880 Dr Carreon Blvd Ste B207, Indio, California |
| Authorized Official Name and Position | Seamus Connolly (CEO) |
| Authorized Official Contact | 4423240014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seamus Connolly, Do Inc 81880 Dr Carreon Blvd Ste B207 Indio CA 92201-5585 Ph: (442) 324-0014 | Seamus Connolly, Do Inc 81880 Dr Carreon Blvd Ste B207 Indio CA 92201-5585 Ph: (442) 324-0014 |
| NPI Number | 1932834108 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 6901276062 |
|---|---|
| Medicare Enrollment ID | O20230126001668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932834108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Seamus Lucien Connolly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932648599 PECOS PAC ID: 9739575481 Enrollment ID: I20220405001684 |
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