Simon, Connie Ls
Simon, Connie Ls is an individual health care provider with primary practice located at 2323 N Casaloma Dr , Appleton WI 54913-8284. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Simon, Connie Ls can be contacted via phone (920) 730-8833.Contact Information
Primary practice address
2323 N Casaloma Dr
Appleton WI 54913-8284
Phone: (920) 730-8833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 341026 | Wisconsin |
Profile Details
| NPI number | 1346291390 |
|---|---|
| LBN Legal business name | Simon, Connie Ls |
| Credentials | OTR, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Oct 31st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346291390 | NPPES |
| Wisconsin | MEDICAID | 40699100 |
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