Conrad, Joseph A
Conrad, Joseph A is an sole proprietor health care provider with primary practice located at 425 E 5350 S Suite 335, Ogden UT 84405-6946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Conrad, Joseph A can be contacted via phone (801) 475-8600.Contact Information
Primary practice address
425 E 5350 S Suite 335
Ogden UT 84405-6946
Phone: (801) 475-8600
Fax: (801) 475-8686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 157844-1205 | Utah |
Profile Details
| NPI number | 1164502662 |
|---|---|
| LBN Legal business name | Conrad, Joseph A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 22nd, 2008 - about 16 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 | 1164502662 | NPPES |
| Utah | Other | P00466650 | RR MEDICARE |
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