Koshewa, Connie L
Koshewa, Connie L is an sole proprietor health care provider with primary practice located at 123 Wellesley Dr Se , Albuquerque NM 87106-1443. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Koshewa, Connie L can be contacted via phone (505) 266-5762.Contact Information
Primary practice address
123 Wellesley Dr Se
Albuquerque NM 87106-1443
Phone: (505) 266-5762
Fax: (505) 268-7500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 04008R | New Mexico |
Profile Details
| NPI number | 1487710596 |
|---|---|
| LBN Legal business name | Koshewa, Connie L |
| Credentials | L.M, C.P.M |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1487710596 | NPPES |
| New Mexico | MEDICAID | 97423882 |
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