Conrad, Katherine Newman
Conrad, Katherine Newman is an individual health care provider with primary practice located at 14 N Church St , Manning SC 29102-3502. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Conrad, Katherine Newman can be contacted via phone (803) 435-2121.Contact Information
Primary practice address
14 N Church St
Manning SC 29102-3502
Phone: (803) 435-2121
Fax: (803) 435-8856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5160 | South Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1730176934 | South Carolina |
Profile Details
| NPI number | 1659669109 |
|---|---|
| LBN Legal business name | Conrad, Katherine Newman |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2011 |
| Last updated | Jul 19th, 2011 - about 14 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 | 1659669109 | NPPES |
| South Carolina | MEDICAID | AD24CL |
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