Conrad, Paul Alan

Conrad, Paul Alan is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Conrad, Paul Alan can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1025 Maine St Quincy IL 62301-4096
Phone: (217) 222-6550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35183 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036092494 Illinois

Profile Details

NPI number 1528028214
LBN Legal business name Conrad, Paul Alan
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 28th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528028214 NPPES
Kentucky Other 000000329490 ANTHEM BCBS
Kentucky MEDICAID 2400959 ANTHEM BCBS
Kentucky MEDICAID 64993728 ANTHEM BCBS

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