Lindberg, Connie Renee
Lindberg, Connie Renee is an sole proprietor health care provider with primary practice located at 10611 Canyon Rd E # 167 , Puyallup WA 98373-4256. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Lindberg, Connie Renee can be contacted via phone (253) 254-9093.Contact Information
Primary practice address
10611 Canyon Rd E # 167
Puyallup WA 98373-4256
Phone: (253) 254-9093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | MA00020294 | Washington |
Profile Details
| NPI number | 1104110568 |
|---|---|
| LBN Legal business name | Lindberg, Connie Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2011 |
| Last updated | Jun 2nd, 2011 - about 13 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 | 1104110568 | NPPES |
| Washington | Other | #MA00020294 | MASSAGE PRACTITIONER LICENSE |
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