Anderson, Connie L
Anderson, Connie L is an individual health care provider with primary practice located at 105 N 31St Ave Ste 102, Omaha NE 68131-2940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Anderson, Connie L can be contacted via phone (402) 346-1111.Contact Information
Primary practice address
105 N 31St Ave Ste 102
Omaha NE 68131-2940
Phone: (402) 346-1111
Fax: (402) 408-0004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 640 | Nebraska |
Profile Details
| NPI number | 1386651172 |
|---|---|
| LBN Legal business name | Anderson, Connie L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Apr 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386651172 | NPPES |
| Nebraska | Other | 37956 | BCBS |
| Nebraska | Other | 970015303 | BCBS |
| Nebraska | Other | 810 | BCBS |
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