Ingalls, Connie S

Ingalls, Connie S is an sole proprietor health care provider with primary practice located at 920 W Market St Suite 210, Lima OH 45805-2773. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ingalls, Connie S can be contacted via phone (419) 227-7770.

Contact Information

Primary practice address
920 W Market St Suite 210 Lima OH 45805-2773
Fax: (419) 229-8258
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35073360I Ohio

Profile Details

NPI number 1750382438
LBN Legal business name Ingalls, Connie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated May 15th, 2012 - about 12 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 1750382438 NPPES
Ohio MEDICAID 2030546

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