Roberts, Connie Sue

Roberts, Connie Sue is an sole proprietor health care provider with primary practice located at 2953 Lindale Ave , Dayton OH 45414-5520. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Roberts, Connie Sue can be contacted via phone (937) 657-7015.

Contact Information

Primary practice address
2953 Lindale Ave Dayton OH 45414-5520
Phone: (937) 657-7015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 376J00000X Ohio

Profile Details

NPI number 1609111327
LBN Legal business name Roberts, Connie Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2012
Last updated Dec 6th, 2012 - about 12 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 1609111327 NPPES
Ohio Other 2883456 ODJFS MEDICAID PROVIDER NUMBER

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