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
Phone: (419) 227-7770
Fax: (419) 229-8258
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750382438 | NPPES |
Ohio | MEDICAID | 2030546 |
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