Conrad, George T
Conrad, George T is an sole proprietor health care provider with primary practice located at 8630 Fenton St Ste 122 , Silver Spring MD 20910-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Conrad, George T can be contacted via phone (301) 588-0057.Contact Information
Primary practice address
8630 Fenton St Ste 122
Silver Spring MD 20910-3803
Phone: (301) 588-0057
Fax: (301) 588-0014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D57785 | Maryland |
Profile Details
| NPI number | 1235115692 |
|---|---|
| LBN Legal business name | Conrad, George T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1235115692 | NPPES |
| Maryland | MEDICAID | 004454700 |
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