Anderson, Connie S.
Anderson, Connie S. is an sole proprietor health care provider with primary practice located at 706 Ekastown Rd Colonial Clinic, Sarver PA 16055-9724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Connie S. can be contacted via phone (724) 353-1508.Contact Information
Primary practice address
706 Ekastown Rd Colonial Clinic
Sarver PA 16055-9724
Phone: (724) 353-1508
Fax: (724) 353-2040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 290725 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22230 | New Hampshire |
Profile Details
| NPI number | 1962485573 |
|---|---|
| LBN Legal business name | Anderson, Connie S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Feb 25th, 2022 - about 3 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 | 1962485573 | NPPES |
| Pennsylvania | MEDICAID | 0016563080002 |
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