Tippetts, Conne R

Tippetts, Conne R is an individual health care provider with primary practice located at 639 W Coulter Ave , Powell WY 82435-2527. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Tippetts, Conne R can be contacted via phone (307) 754-9262.

Contact Information

Primary practice address
639 W Coulter Ave Powell WY 82435-2527
Phone: (307) 754-9262
Fax: (307) 754-9283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR-155 Wyoming

Profile Details

NPI number 1134211840
LBN Legal business name Tippetts, Conne R
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1134211840 NPPES
Wyoming Other 310810 BLUE CROSS BLUE SHIELD
Wyoming Other 192550 BLUE CROSS BLUE SHIELD

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