Hale, Connie
Hale, Connie is an sole proprietor health care provider with primary practice located at 3018 Old Minden Rd Ste 1117 , Bossier City LA 71112-2497. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / Psychiatric Hospital, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hale, Connie can be contacted via phone (318) 746-1935.Contact Information
Primary practice address
3018 Old Minden Rd Ste 1117
Bossier City LA 71112-2497
Phone: (318) 746-1935
Fax: (318) 746-2514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | AP03832 | Louisiana |
| Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X | AP03832 | Louisiana |
| Hospitals / Psychiatric Hospital | 283Q00000X | AP03832 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP03832 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP03832 | Louisiana |
Profile Details
| NPI number | 1790751642 |
|---|---|
| LBN Legal business name | Hale, Connie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Sep 4th, 2019 - about 5 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 | 1790751642 | NPPES |
| Louisiana | MEDICAID | 1189537 |
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