Conrad, Harold A

Conrad, Harold A is an individual health care provider with primary practice located at 35 Michigan Ne Suite 4150, Grand Rapids MI 49503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Conrad, Harold A can be contacted via phone (616) 267-2100.

Contact Information

Primary practice address
35 Michigan Ne Suite 4150 Grand Rapids MI 49503
Phone: (616) 267-2100
Fax: (616) 267-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 4301071191 Michigan

Profile Details

NPI number 1689644650
LBN Legal business name Conrad, Harold A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 4th, 2022 - about 3 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 1689644650 NPPES
Michigan MEDICAID 3389769
Michigan Other 1922090554
Michigan Other 350D176310
Michigan Other 0M74460050
Michigan Other 1558407189

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