# DR. PATRICK SEAN CONNELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134225659
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CT 001632 | CT | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050001632CT01 | BLUE CROSS BLUE SHIELD | CT |
| 01 | — | 3943341 | AETNA HMO | CT |
| 01 | — | 7197717 | AETNA PPO | CT |
| 01 | — | CT 1632 | CONNECTICUT LICENSE | CT |