Bain, Connie Sue

Bain, Connie Sue is an individual health care provider with primary practice located at 540 Lincoln Park Blvd Suite 350, Kettering OH 45429-6401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bain, Connie Sue can be contacted via phone (937) 312-8100.

Contact Information

Primary practice address
540 Lincoln Park Blvd Suite 350 Kettering OH 45429-6401
Phone: (937) 312-8100
Fax: (937) 312-8101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT001778 Ohio

Profile Details

NPI number 1558383141
LBN Legal business name Bain, Connie Sue
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 11th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558383141 NPPES
Ohio MEDICAID 2695810

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