Fines, Connie Rose

Fines, Connie Rose is an individual health care provider with primary practice located at 307 E Avenue D , Heavener OK 74937-3437. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Fines, Connie Rose can be contacted via phone (479) 652-1948.

Contact Information

Primary practice address
307 E Avenue D Heavener OK 74937-3437
Phone: (479) 652-1948
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1679156566
LBN Legal business name Fines, Connie Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2021
Last updated Apr 29th, 2021 - about 3 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 1679156566 NPPES
Oklahoma MEDICAID 000000000

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