Conner, Judith

Conner, Judith is an individual health care provider with primary practice located at 3549 Southern Hills Dr , Sioux City IA 51106-4736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conner, Judith can be contacted via phone (712) 274-6729.

Contact Information

Primary practice address
3549 Southern Hills Dr Sioux City IA 51106-4736
Fax: (712) 274-6744
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00673 Iowa

Profile Details

NPI number 1043270333
LBN Legal business name Conner, Judith
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043270333 NPPES
Iowa MEDICAID 0157206

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