Conner, Marie T

Conner, Marie T is an individual health care provider with primary practice located at 1301 Industrial Pkwy E , El Dorado Springs MO 64744-6263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Conner, Marie T can be contacted via phone (417) 448-1021.

Contact Information

Primary practice address
1301 Industrial Pkwy E El Dorado Springs MO 64744-6263
Fax: (417) 876-1069
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 2010009924 Missouri

Profile Details

NPI number 1326334087
LBN Legal business name Conner, Marie T
Credentials CNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Oct 23rd, 2018 - about 6 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 1326334087 NPPES
Missouri Other 2010009924 CNS

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