Dickson, Connie Gail
Dickson, Connie Gail is an individual health care provider with primary practice located at 208 S Main St , Franklin KY 42134-2116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dickson, Connie Gail can be contacted via phone (270) 781-6477.Contact Information
Primary practice address
208 S Main St
Franklin KY 42134-2116
Phone: (270) 781-6477
Fax: (270) 647-6479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007222 | Kentucky |
Profile Details
| NPI number | 1306114640 |
|---|---|
| LBN Legal business name | Dickson, Connie Gail |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2011 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1306114640 | NPPES |
| Kentucky | MEDICAID | 7100187890 |
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