Claytor, Conrad Allison

Claytor, Conrad Allison is an sole proprietor health care provider with primary practice located at 1934 Braeburn Dr , Salem VA 24153-7302. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Claytor, Conrad Allison can be contacted via phone (540) 982-0253.

Contact Information

Primary practice address
1934 Braeburn Dr Salem VA 24153-7302
Fax: (540) 982-1996
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103000782 Virginia

Profile Details

NPI number 1306891460
LBN Legal business name Claytor, Conrad Allison
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jul 21st, 2014 - about 11 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 1306891460 NPPES
Virginia MEDICAID 009331247

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