Carleen, Connie Marie
Carleen, Connie Marie is an individual health care provider with primary practice located at 4194 Lexington Ave N , Shoreview MN 55126-6106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carleen, Connie Marie can be contacted via phone (651) 483-5461.Contact Information
Primary practice address
4194 Lexington Ave N
Shoreview MN 55126-6106
Phone: (651) 483-5461
Fax: (651) 483-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41589 | Minnesota |
Profile Details
| NPI number | 1407819402 |
|---|---|
| LBN Legal business name | Carleen, Connie Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 10th, 2020 - about 5 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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