Conrad, James A.

Conrad, James A. is an individual health care provider with primary practice located at 16261 Bass Rd Suite 300, Fort Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Conrad, James A. can be contacted via phone (239) 343-6410.

Contact Information

Primary practice address
16261 Bass Rd Suite 300 Fort Myers FL 33908
Phone: (239) 343-6410
Fax: (239) 343-6411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME50556 Florida

Profile Details

NPI number 1366414682
LBN Legal business name Conrad, James A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 19th, 2020 - about 4 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 1366414682 NPPES
Florida MEDICAID 046267500
Florida Other P00256570
Florida Other 03755

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