Anderson, David Conrad

Anderson, David Conrad is an sole proprietor health care provider with primary practice located at 2401 Brandermill Blvd Suite 360, Gambrills MD 21054-1690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, David Conrad can be contacted via phone (410) 721-9862.

Contact Information

Primary practice address
2401 Brandermill Blvd Suite 360 Gambrills MD 21054-1690
Fax: (410) 721-9865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0043236 Maryland

Profile Details

NPI number 1508866336
LBN Legal business name Anderson, David Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Sep 23rd, 2008 - about 16 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 1508866336 NPPES
Maryland Other 80151940 RAILROAD MEDICARE
Maryland Other P13160 RAILROAD MEDICARE
Maryland MEDICAID 192191600 RAILROAD MEDICARE
Maryland Other 7605-0002 RAILROAD MEDICARE
Maryland Other 525954-02 RAILROAD MEDICARE
Maryland Other 0521276 RAILROAD MEDICARE
Maryland Other 0826714 RAILROAD MEDICARE
Maryland Other 242087 RAILROAD MEDICARE
Maryland Other 037532 RAILROAD MEDICARE
Maryland Other 4334366 RAILROAD MEDICARE
Maryland Other 842087 RAILROAD MEDICARE

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