Rackow, Connie Sue

Rackow, Connie Sue is an individual health care provider with primary practice located at 334 E Milltown Rd , Wooster OH 44691. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Rackow, Connie Sue can be contacted via phone (330) 345-7798.

Contact Information

Primary practice address
334 E Milltown Rd Wooster OH 44691
Phone: (330) 345-7798
Fax: (330) 345-7225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP02547 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN137212 Ohio

Profile Details

NPI number 1043209281
LBN Legal business name Rackow, Connie Sue
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Sep 25th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043209281 NPPES
Ohio MEDICAID 2450637

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