Jacobs, Connie Sue

Jacobs, Connie Sue is an sole proprietor health care provider with primary practice located at 606 S 9Th St , Kiowa KS 67070-1911. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jacobs, Connie Sue can be contacted via phone (620) 825-4228.

Contact Information

Primary practice address
606 S 9Th St Kiowa KS 67070-1911
Phone: (620) 825-4228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1013215953
LBN Legal business name Jacobs, Connie Sue
Credentials M.S. ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2011
Last updated Mar 1st, 2011 - about 15 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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