Conrad, Ryan Scott

Conrad, Ryan Scott is an individual health care provider with primary practice located at 124 Professional Park Dr Suite C, Mooresville NC 28117-5609. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Conrad, Ryan Scott can be contacted via phone (704) 662-3077.

Contact Information

Primary practice address
124 Professional Park Dr Suite C Mooresville NC 28117-5609
Phone: (704) 662-3077
Fax: (704) 662-3458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 009000335 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2005-01316 North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 2015-01316 North Carolina

Profile Details

NPI number 1346289402
LBN Legal business name Conrad, Ryan Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 21st, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346289402 NPPES
North Carolina MEDICAID 5901715

Popular Providers