Blose, Connie Sue

Blose, Connie Sue is an sole proprietor health care provider with primary practice located at 903 Ne Pheasant Ln , Lawton OK 73507-2328. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blose, Connie Sue can be contacted via phone (580) 355-9230.

Contact Information

Primary practice address
903 Ne Pheasant Ln Lawton OK 73507-2328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 411 Oklahoma

Profile Details

NPI number 1972685360
LBN Legal business name Blose, Connie Sue
Credentials MA/CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 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.

Request for update

Popular Providers