Conrad, Douglas Michael
Conrad, Douglas Michael is an individual health care provider with primary practice located at 4505 Fairmeadow Ln Suite 208, Raleigh NC 27607-6449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Conrad, Douglas Michael can be contacted via phone (919) 782-4954.Contact Information
Primary practice address
4505 Fairmeadow Ln Suite 208
Raleigh NC 27607-6449
Phone: (919) 782-4954
Fax: (919) 782-4849
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 20252 | North Carolina |
Profile Details
NPI number | 1467676510 |
---|---|
LBN Legal business name | Conrad, Douglas Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1467676510 | NPPES |
North Carolina | MEDICAID | 8923893 | |
North Carolina | Other | 23893 |
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