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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1679565881 NPPES
Illinois Other P00116900 RAILROAD MEDICARE

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