Caldwell, Conrad Chesnut
Caldwell, Conrad Chesnut is an sole proprietor health care provider with primary practice located at 4300 W Memorial Rd Er Dept., Oklahoma City OK 73120-8304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Caldwell, Conrad Chesnut can be contacted via phone (405) 752-3733.Contact Information
Primary practice address
4300 W Memorial Rd Er Dept.
Oklahoma City OK 73120-8304
Phone: (405) 752-3733
Fax: (405) 749-4561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 22805 | Oklahoma |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 22805 | Oklahoma |
Profile Details
| NPI number | 1568423515 |
|---|---|
| LBN Legal business name | Caldwell, Conrad Chesnut |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jun 24th, 2024 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568423515 | NPPES |
| Oklahoma | MEDICAID | 100211220A | |
| Oklahoma | Other | 930126932 | |
| Oklahoma | MEDICAID | 100211220B | |
| Oklahoma | Other | 930119846 |
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