Reifenberger, Connie K

Reifenberger, Connie K is an individual health care provider with primary practice located at 3000 Mack Rd Suite 100, Fairfield OH 45014-5335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Reifenberger, Connie K can be contacted via phone (513) 751-4222.

Contact Information

Primary practice address
3000 Mack Rd Suite 100 Fairfield OH 45014-5335
Fax: (513) 751-4353
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN154687 Ohio

Profile Details

NPI number 1710987276
LBN Legal business name Reifenberger, Connie K
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Nov 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710987276 NPPES
Ohio MEDICAID 2526298
Ohio MEDICAID 78014743

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