Gehl, Connie M

Gehl, Connie M is an sole proprietor health care provider with primary practice located at 1610 Hoover St , New Holstein WI 53061-1636. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gehl, Connie M can be contacted via phone (920) 898-5627.

Contact Information

Primary practice address
1610 Hoover St New Holstein WI 53061-1636
Phone: (920) 898-5627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 806-019 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1528272879
LBN Legal business name Gehl, Connie M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Aug 28th, 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 1528272879 NPPES
Wisconsin MEDICAID 36111700

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