Conner, Autumn

Conner, Autumn is an individual health care provider with primary practice located at 27472 Schoenherr Rd Ste 130 , Warren MI 48088-6675. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Conner, Autumn can be contacted via phone (586) 439-6243.

Contact Information

Primary practice address
27472 Schoenherr Rd Ste 130 Warren MI 48088-6675
Phone: (586) 439-6243
Fax: (586) 439-6240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 5201010040 Michigan

Profile Details

NPI number 1174035828
LBN Legal business name Conner, Autumn
Credentials MOT, OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Jun 16th, 2018 - about 7 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 1174035828 NPPES
Michigan Other 5201010040 STATE LICENSE

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