Anderson, Conrad Ashton

Anderson, Conrad Ashton is an sole proprietor health care provider with primary practice located at 1636 Popps Ferry Rd Suite 215, Biloxi MS 39532-2217. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Conrad Ashton can be contacted via phone (228) 365-3552.

Contact Information

Primary practice address
1636 Popps Ferry Rd Suite 215 Biloxi MS 39532-2217
Phone: (228) 365-3552
Fax: (228) 392-9743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L.C.S.W. C#3822 Mississippi

Profile Details

NPI number 1255423695
LBN Legal business name Anderson, Conrad Ashton
Credentials L.C.S.W., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Feb 15th, 2014 - about 10 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255423695 NPPES
Mississippi Other 302I803223 MEDICARE PTAN
Mississippi Other 030389866 MEDICARE PTAN
Mississippi Other 06656046 MEDICARE PTAN

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