Connelly, Tamara

Connelly, Tamara is an sole proprietor health care provider with primary practice located at 727 8Th St Lowr Level , Baraboo WI 53913-1794. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Connelly, Tamara can be contacted via phone (414) 305-2574.

Contact Information

Primary practice address
727 8Th St Lowr Level Baraboo WI 53913-1794
Phone: (414) 305-2574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1912471103
LBN Legal business name Connelly, Tamara
Credentials CCS SERVICE FACILITA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2019
Last updated Jan 22nd, 2019 - about 7 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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