Connie S. Herron, Pc

LBN: Connie S Carunchia Professional Corporation
Connie S. Herron, Pc is an health care organization with primary practice located at 5900 E 500 N , Kendallville IN 46755-9349. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as the primary health care specialty. Connie S Carunchia Professional Corporation can be contacted via phone (260) 349-8185, or through Cole, Connie S. via phone (260) 349-8185.

Contact Information

Primary practice address
5900 E 500 N Kendallville IN 46755-9349
Phone: (260) 349-8185
Fax: (888) 347-0088
Website:
Map and Directions
Authorized official contact:
Name: Cole, Connie S. NP-C
Phone: (260) 349-8185

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 55000068A Indiana

Profile Details

NPI number 1487948816
LBN Legal business name Connie S Carunchia Professional Corporation
DBA Doing business as Connie S. Herron, Pc
Authorized official Cole, Connie S. NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2011
Last updated Aug 4th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487948816 NPPES
Indiana MEDICAID 201023750A
Indiana Other DS6979

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