Provider Demographics
NPI:1669356408
Name:MCCONNELL, ADAM CHRISTOPHER
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:CHRISTOPHER
Last Name:MCCONNELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 EASTPORT AVE
Mailing Address - Street 2:
Mailing Address - City:UHRICHSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44683-1528
Mailing Address - Country:US
Mailing Address - Phone:330-440-2040
Mailing Address - Fax:
Practice Address - Street 1:926 EASTPORT AVE
Practice Address - Street 2:
Practice Address - City:UHRICHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44683-1528
Practice Address - Country:US
Practice Address - Phone:330-440-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty