Conradson, Eric P

Conradson, Eric P is an individual health care provider with primary practice located at 1185 Corporate Center Dr Suite 175, Oconomowoc WI 53066-4887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Conradson, Eric P can be contacted via phone (262) 928-8400.

Contact Information

Primary practice address
1185 Corporate Center Dr Suite 175 Oconomowoc WI 53066-4887
Fax: (262) 928-8484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20977 Wisconsin

Profile Details

NPI number 1518976232
LBN Legal business name Conradson, Eric P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518976232 NPPES
Wisconsin MEDICAID 30274200

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