Showalter, Conner Alan
Showalter, Conner Alan is an individual health care provider with primary practice located at 707 Mount Cross Rd , Danville VA 24540-5905. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Showalter, Conner Alan can be contacted via phone (434) 791-5700.Contact Information
Primary practice address
707 Mount Cross Rd
Danville VA 24540-5905
Phone: (434) 791-5700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
NPI number | 1770008344 |
---|---|
LBN Legal business name | Showalter, Conner Alan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2017 |
Last updated | Aug 4th, 2017 - about 8 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 | 1770008344 | NPPES |
North Carolina | Other | XXX-XX-4019 | TRI-CARE PRIME |
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