Worm, Connie Lee

Worm, Connie Lee is an individual health care provider with primary practice located at 2108 Kohler Memorial Dr , Sheboygan WI 53081-3100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Worm, Connie Lee can be contacted via phone (920) 458-9401.

Contact Information

Primary practice address
2108 Kohler Memorial Dr Sheboygan WI 53081-3100
Phone: (920) 458-9401
Fax: (920) 458-8801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 86329-030 Wisconsin

Profile Details

NPI number 1104044395
LBN Legal business name Worm, Connie Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
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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