Conrad, Rachel A

Conrad, Rachel A is an individual health care provider with primary practice located at 147 Willow Tree Way , Hurricane WV 25526-1085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Conrad, Rachel A can be contacted via phone (304) 397-3002.

Contact Information

Primary practice address
147 Willow Tree Way Hurricane WV 25526-1085
Phone: (304) 397-3002
Fax: (304) 397-3007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 49148 West Virginia

Profile Details

NPI number 1043234156
LBN Legal business name Conrad, Rachel A
Credentials CS FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 21st, 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 1043234156 NPPES
Kentucky MEDICAID 7100066180
Kentucky MEDICAID 2812497
Kentucky MEDICAID 7104196000

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