Condos, William R

Condos, William R is an individual health care provider with primary practice located at 1717 Oak Park Blvd Fl 2, Lake Charles LA 70601-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Condos, William R can be contacted via phone (337) 494-3278.

Contact Information

Primary practice address
1717 Oak Park Blvd Fl 2 Lake Charles LA 70601-8990
Phone: (337) 494-3278
Fax: (337) 494-3240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 08677R Louisiana

Profile Details

NPI number 1013910801
LBN Legal business name Condos, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 4th, 2008 - about 16 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 1013910801 NPPES
Louisiana MEDICAID 1915823

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