Harrell, Connie Joe
Harrell, Connie Joe is an sole proprietor health care provider with primary practice located at 121 W Carlson St , Cheyenne WY 82009-4044. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harrell, Connie Joe can be contacted via phone (307) 635-1197.Contact Information
Primary practice address
121 W Carlson St
Cheyenne WY 82009-4044
Phone: (307) 635-1197
Fax: (307) 635-3245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 716 | Wyoming |
Profile Details
| NPI number | 1184758856 |
|---|---|
| LBN Legal business name | Harrell, Connie Joe |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| 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 | 1184758856 | NPPES |
| Wyoming | Other | 972193 | UNITED CONCORDIA |
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