Conrad, Jacob
Conrad, Jacob is an individual health care provider with primary practice located at 150 Marlin Dr , Greenwood IN 46142-1451. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Conrad, Jacob can be contacted via phone (317) 885-3010.Contact Information
Primary practice address
150 Marlin Dr
Greenwood IN 46142-1451
Phone: (317) 885-3010
Fax: (317) 885-3065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 26028794A | Indiana |
Profile Details
| NPI number | 1255903464 |
|---|---|
| LBN Legal business name | Conrad, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2021 |
| Last updated | Jul 15th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255903464 | NPPES |
| Indiana | Other | 26028794A | BOARD OF PHARMACY |
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