Conard, Jonathan Lee

Conard, Jonathan Lee is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Conard, Jonathan Lee can be contacted via phone (719) 365-6820.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 365-6820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46918 Colorado
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 46918 Colorado

Profile Details

NPI number 1710940119
LBN Legal business name Conard, Jonathan Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated May 15th, 2013 - 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 1710940119 NPPES
North Carolina MEDICAID 5902023
North Carolina Other P00373629
North Carolina MEDICAID 31273025
North Carolina Other 140U1

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