Conner, Robert Anthony

Conner, Robert Anthony is an individual health care provider with primary practice located at 501 Dr Michael Debakey Dr , Lake Charles LA 70601-5724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Conner, Robert Anthony can be contacted via phone (337) 433-8400.

Contact Information

Primary practice address
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724
Phone: (337) 433-8400
Fax: (337) 312-6708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN074867AP04422 Louisiana

Profile Details

NPI number 1053302745
LBN Legal business name Conner, Robert Anthony
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 30th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053302745 NPPES
Louisiana Other LA6100258 TRICARE
Louisiana MEDICAID 1467821 TRICARE

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