Conrad, Devin Marie

Conrad, Devin Marie is an individual health care provider with primary practice located at 10990 State Route 61 , Mount Carmel PA 17851-2575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Conrad, Devin Marie can be contacted via phone (570) 554-9270.

Contact Information

Primary practice address
10990 State Route 61 Mount Carmel PA 17851-2575
Phone: (570) 554-9270
Fax: (570) 554-9271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA058416 Pennsylvania

Profile Details

NPI number 1528513561
LBN Legal business name Conrad, Devin Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Oct 19th, 2020 - about 5 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 1528513561 NPPES
Pennsylvania MEDICAID PENDING

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