National Provider Identifier Database

CONNERSVILLE OBGYN INC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

CONNERSVILLE OBGYN INC
1619 N GRAND AVE
CONNERSVILLE, IN47331-2230
Phone: 765-825-0811
Fax: 765-827-5278
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for CONNERSVILLE OBGYN INC

NPI Number 1225182272
Legal business name
LBN
CONNERSVILLE OBGYN INC
Authorized official VANCE RAHAM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01045645

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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