Bakker, Konrad W
Bakker, Konrad W is an sole proprietor health care provider with primary practice located at 172 Thomas Johnson Dr Ste 100, Frederick MD 21702-4405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Bakker, Konrad W can be contacted via phone (301) 694-0900.Contact Information
Primary practice address
172 Thomas Johnson Dr Ste 100
Frederick MD 21702-4405
Phone: (301) 694-0900
Fax: (301) 694-0657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D0035322 | Maryland |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | DOO35322 | Maryland |
Profile Details
| NPI number | 1346246782 |
|---|---|
| LBN Legal business name | Bakker, Konrad W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jun 14th, 2021 - about 3 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 | 1346246782 | NPPES |
| Maryland | Other | 0501704 | EVERCARE |
| Maryland | Other | 237076 | EVERCARE |
| Maryland | Other | 372721 | EVERCARE |
| Maryland | Other | 4137502 | EVERCARE |
| Maryland | Other | 495169 | EVERCARE |
| Maryland | Other | 186224 | EVERCARE |
| Maryland | Other | 5113 | EVERCARE |
| Maryland | MEDICAID | 526711100 | EVERCARE |
| Maryland | Other | 613465 | EVERCARE |
| Maryland | Other | ZC6139 | EVERCARE |
| Maryland | Other | 1306711010 | EVERCARE |
| Maryland | Other | KFE9CO | EVERCARE |
| Maryland | Other | 237074 | EVERCARE |
| Maryland | Other | 3327089 | EVERCARE |
| Maryland | Other | 3473625 | EVERCARE |
| Maryland | Other | 500310 | EVERCARE |
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