Conrad, Carl G
Conrad, Carl G is an individual health care provider with primary practice located at 875 8Th St Ne , Massillon OH 44646-8503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Conrad, Carl G can be contacted via phone (330) 832-8761.Contact Information
Primary practice address
875 8Th St Ne
Massillon OH 44646-8503
Phone: (330) 832-8761
Fax: (330) 834-4756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35085474 | Ohio |
Profile Details
| NPI number | 1821044645 |
|---|---|
| LBN Legal business name | Conrad, Carl G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 16th, 2021 - about 4 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 | 1821044645 | NPPES |
| Other | 000000353942 | ANTHEM | |
| Other | P00201891 | ANTHEM | |
| MEDICAID | 2549639 | ANTHEM |
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