Conley, Charlene L
Conley, Charlene L is an individual health care provider with primary practice located at 5879 Snyder Dr , Lockport NY 14094-9497. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Conley, Charlene L can be contacted via phone (716) 433-8751.Contact Information
Primary practice address
5879 Snyder Dr
Lockport NY 14094-9497
Phone: (716) 433-8751
Fax: (716) 433-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F3310851 | New York |
Profile Details
| NPI number | 1861456758 |
|---|---|
| LBN Legal business name | Conley, Charlene L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 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 | 1861456758 | NPPES |
| New York | Other | 9511785 | INDEPENDENT HEALTH |
| New York | Other | 040426002607 | INDEPENDENT HEALTH |
| New York | Other | 000560122004 | INDEPENDENT HEALTH |
| New York | Other | 00026578701 | INDEPENDENT HEALTH |
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