1750382438 NPI number — DR. CONNIE S INGALLS M.D.

Table of content: DR. CONNIE S INGALLS M.D. (NPI 1750382438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750382438 NPI number — DR. CONNIE S INGALLS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
INGALLS
Provider First Name:
CONNIE
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750382438
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
920 W MARKET ST
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
LIMA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45805-2773
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-227-7770
Provider Business Mailing Address Fax Number:
419-229-8258

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
920 W MARKET ST
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
LIMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45805-2773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-227-7770
Provider Business Practice Location Address Fax Number:
419-229-8258
Provider Enumeration Date:
08/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  35073360I , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2030546 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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