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Contact Information

CONNERSVILLE OBGYN INC
1619 N GRAND AVE
CONNERSVILLE, IN47331-2230
 Phone: 765-825-0811
 Fax: 765-827-5278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CONNERSVILLE OBGYN INC · (Female)

NPI Number 1225182272
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01045645
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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