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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 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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