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
Phone: (410) 721-9862
Fax: (410) 721-9865
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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