Morrison, Connie L

Morrison, Connie L is an individual health care provider with primary practice located at 1216 Ryans Rd Suite 1, Worthington MN 56187-1722. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Morrison, Connie L can be contacted via phone (507) 372-2921.

Contact Information

Primary practice address
1216 Ryans Rd Suite 1 Worthington MN 56187-1722
Phone: (507) 372-2921
Fax: (507) 372-5789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46261 Minnesota

Profile Details

NPI number 1114013638
LBN Legal business name Morrison, Connie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated May 26th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114013638 NPPES
Minnesota Other P00067836 RR MEDICARE
Minnesota MEDICAID 347170500 RR MEDICARE
Minnesota MEDICAID 0719146 RR MEDICARE
Minnesota Other 103901 RR MEDICARE
Minnesota Other 280R3MO RR MEDICARE

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