Addison, Conrad B.

Addison, Conrad B. is an individual health care provider with primary practice located at 30 N 1900 E Rm 4C104 , Salt Lake City UT 84132-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Addison, Conrad B. can be contacted via phone (801) 408-1618.

Contact Information

Primary practice address
30 N 1900 E Rm 4C104 Salt Lake City UT 84132-0002
Phone: (801) 408-1618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 12229852-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 12229852-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MED-RES-LIC-67459 Montana

Profile Details

NPI number 1194228916
LBN Legal business name Addison, Conrad B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2018
Last updated Jun 6th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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