Provider Demographics
NPI:1740311950
Name:MCCONNELL, CATHERINE CLAIRE
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CLAIRE
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51470 TOWNSHIP ROAD 146B
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-9669
Mailing Address - Country:US
Mailing Address - Phone:740-295-0809
Mailing Address - Fax:
Practice Address - Street 1:51470 TOWNSHIP ROAD 146B
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9669
Practice Address - Country:US
Practice Address - Phone:740-295-0809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2328501OtherPROVIDER NUMBER