Semmelroth, Connie

Semmelroth, Connie is an individual health care provider with primary practice located at 332 W Superior St Suite 300, Duluth MN 55802-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Semmelroth, Connie can be contacted via phone (218) 722-4379.

Contact Information

Primary practice address
332 W Superior St Suite 300 Duluth MN 55802-1808
Phone: (218) 722-4379
Fax: (218) 722-4333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R147667-5 Minnesota

Profile Details

NPI number 1265513998
LBN Legal business name Semmelroth, Connie
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Nov 24th, 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 1265513998 NPPES
Minnesota MEDICAID 725269200

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