Greene, Connie
Greene, Connie is an sole proprietor health care provider with primary practice located at 2000 Tamarack Rd , Newark OH 43055-1183. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Greene, Connie can be contacted via phone (614) 235-2326.Contact Information
Primary practice address
2000 Tamarack Rd
Newark OH 43055-1183
Phone: (614) 235-2326
Fax: (614) 235-5194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN111127 | Ohio |
Profile Details
NPI number | 1215093950 |
---|---|
LBN Legal business name | Greene, Connie |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 28th, 2006 |
Last updated | Jul 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215093950 | NPPES |
Ohio | MEDICAID | 0996089 |
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