Conrad, Matthew Harris
Conrad, Matthew Harris is an sole proprietor health care provider with primary practice located at 1700 Waterfront Pkwy #200, Wichita KS 67206-6614. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Conrad, Matthew Harris can be contacted via phone (316) 681-2227.Contact Information
Primary practice address
1700 Waterfront Pkwy #200
Wichita KS 67206-6614
Phone: (316) 681-2227
Fax: (316) 684-5250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | KS0429556 | Kansas |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | KS0429556 | Kansas |
Profile Details
| NPI number | 1700831294 |
|---|---|
| LBN Legal business name | Conrad, Matthew Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 17th, 2022 - 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 | 1700831294 | NPPES |
| Kansas | MEDICAID | 100421630B |
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