Mcconnaha, Debra L
Mcconnaha, Debra L is an sole proprietor health care provider with primary practice located at 1634 W Smith Valley Rd Ste A, Greenwood IN 46142-1550. She recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as her primary health care specialty. Mcconnaha, Debra L can be contacted via phone (317) 883-2020.Contact Information
Primary practice address
1634 W Smith Valley Rd Ste A
Greenwood IN 46142-1550
Phone: (317) 883-2020
Fax: (317) 883-2509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 18002361B | Indiana |
Profile Details
| NPI number | 1629070925 |
|---|---|
| LBN Legal business name | Mcconnaha, Debra L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1629070925 | NPPES |
| Indiana | Other | 201434685 | SAGAMORE |
| Indiana | Other | 000000220970 | SAGAMORE |
| Indiana | Other | 4588556 | SAGAMORE |
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