Condaras, Michael R.
Condaras, Michael R. is an sole proprietor health care provider with primary practice located at 1202 Virginia St E , Charleston WV 25301-2909. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Condaras, Michael R. can be contacted via phone (304) 342-3323.Contact Information
Primary practice address
1202 Virginia St E
Charleston WV 25301-2909
Phone: (304) 342-3323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 161 | West Virginia |
Profile Details
| NPI number | 1669437174 |
|---|---|
| LBN Legal business name | Condaras, Michael R. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Feb 17th, 2012 - about 13 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 | 1669437174 | NPPES |
| West Virginia | MEDICAID | 0131291000 |
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