Conrad, Nicole
Conrad, Nicole is an individual health care provider with primary practice located at 3000 N University Dr Suite K, Coral Springs FL 33065-5055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Conrad, Nicole can be contacted via phone (954) 752-2630.Contact Information
Primary practice address
3000 N University Dr Suite K
Coral Springs FL 33065-5055
Phone: (954) 752-2630
Fax: (954) 752-0183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-110873 | Illinois |
Profile Details
NPI number | 1679565881 |
---|---|
LBN Legal business name | Conrad, Nicole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2005 |
Last updated | Nov 29th, 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 | 1679565881 | NPPES |
Illinois | Other | P00116900 | RAILROAD MEDICARE |
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