Conrad, John Christian

Conrad, John Christian is an individual health care provider with primary practice located at 4064 Postal Dr , Roanoke VA 24018-6438. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Conrad, John Christian can be contacted via phone (540) 725-1226.

Contact Information

Primary practice address
4064 Postal Dr Roanoke VA 24018-6438
Fax: (540) 857-5306
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110003758 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003758 Virginia

Profile Details

NPI number 1043582422
LBN Legal business name Conrad, John Christian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2012
Last updated Jan 27th, 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 1043582422 NPPES
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 540506332115 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other P01072820 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
Virginia Other 1043582422 SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY

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