Conrad, Jillian
Conrad, Jillian is an sole proprietor health care provider with primary practice located at Bob Chisholm Center 1225 Ave. A, Seaside OR 97138. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Conrad, Jillian can be contacted via phone (503) 738-3311.Contact Information
Primary practice address
Bob Chisholm Center 1225 Ave. A
Seaside OR 97138
Phone: (503) 738-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1669066312 |
|---|---|
| LBN Legal business name | Conrad, Jillian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2021 |
| Last updated | Feb 23rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669066312 | NPPES |
| Oregon | MEDICAID | 174H00000X |
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