Individual
DR. CONNIE S INGALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 W MARKET ST, SUITE 210, LIMA, OH 45805-2773
(419) 227-7770
(419) 229-8258
Mailing address
920 W MARKET ST, SUITE 210, LIMA, OH 45805-2773
(419) 227-7770
(419) 229-8258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073360I
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030546
—
OH
Enumeration date
08/03/2005
Last updated
05/15/2012
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