Phillips, Connie Ellis

Phillips, Connie Ellis is an individual health care provider with primary practice located at 1431 Premier Dr , Mankato MN 56001-6076. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Phillips, Connie Ellis can be contacted via phone (507) 386-6670.

Contact Information

Primary practice address
1431 Premier Dr Mankato MN 56001-6076
Phone: (507) 386-6670
Fax: (507) 388-8372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5346 Minnesota

Profile Details

NPI number 1124086525
LBN Legal business name Phillips, Connie Ellis
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124086525 NPPES
Minnesota Other 103183C572 UCARE MN
Minnesota Other 448T1PH UCARE MN
Minnesota Other HP42303 UCARE MN
Minnesota Other 983181027668 UCARE MN
Minnesota Other 6404803 UCARE MN
Minnesota Other H033 UCARE MN

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