Conrad, Tammy J.

Conrad, Tammy J. is an sole proprietor health care provider with primary practice located at 2829 Royal Ave , Monona WI 53713-1535. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Conrad, Tammy J. can be contacted via phone (608) 661-2829.

Contact Information

Primary practice address
2829 Royal Ave Monona WI 53713-1535
Phone: (608) 661-2829
Fax: (608) 661-0907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 720-124 Wisconsin

Profile Details

NPI number 1922122514
LBN Legal business name Conrad, Tammy J.
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Sep 17th, 2021 - about 5 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 1922122514 NPPES
Wisconsin MEDICAID 41009700
Wisconsin Other 12037438
Wisconsin Other 390806186-59

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