Walters, Connie Jo

Walters, Connie Jo is an sole proprietor health care provider with primary practice located at 24276 166Th Street Airport Rd , Eagle Butte SD 57625-1012. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Walters, Connie Jo can be contacted via phone (605) 964-7724.

Contact Information

Primary practice address
24276 166Th Street Airport Rd Eagle Butte SD 57625-1012
Phone: (605) 964-7724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P012241 South Dakota
Nursing Service Providers / Registered Nurse 163W00000X R054232 South Dakota

Profile Details

NPI number 1881134112
LBN Legal business name Walters, Connie Jo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2017
Last updated Jun 22nd, 2021 - 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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