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
Phone: (540) 982-0253
Fax: (540) 982-1996
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306891460 | NPPES |
Virginia | MEDICAID | 009331247 |
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