Alsup, Connie Jean
Alsup, Connie Jean is an individual health care provider with primary practice located at 301 Warrior Lane , Poplar Bluff MO 63902. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Alsup, Connie Jean can be contacted via phone (573) 686-1200.Contact Information
Primary practice address
301 Warrior Lane
Poplar Bluff MO 63902
Phone: (573) 686-1200
Fax: (573) 686-1029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4835 | Missouri |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 920 | Missouri |
Profile Details
| NPI number | 1174812275 |
|---|---|
| LBN Legal business name | Alsup, Connie Jean |
| Credentials | CRADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2011 |
| Last updated | Mar 30th, 2011 - about 15 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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