Conley, C. Sue
Conley, C. Sue is an individual health care provider with primary practice located at 426 Mcmillen St , Fort Atkinson WI 53538-1996. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Conley, C. Sue can be contacted via phone (920) 568-1000.Contact Information
Primary practice address
426 Mcmillen St
Fort Atkinson WI 53538-1996
Phone: (920) 568-1000
Fax: (920) 563-0258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 33479 020 | Wisconsin |
Profile Details
| NPI number | 1578587598 |
|---|---|
| LBN Legal business name | Conley, C. Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1578587598 | NPPES |
| Wisconsin | MEDICAID | 32137000 |
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