Deleon, Conrado

Deleon, Conrado is an sole proprietor health care provider with primary practice located at 403 Canterbury Ln , Moses Lake WA 98837-1822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Deleon, Conrado can be contacted via phone (509) 592-9921.

Contact Information

Primary practice address
403 Canterbury Ln Moses Lake WA 98837-1822
Fax: (509) 357-4645
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00024096 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00024096 Washington

Profile Details

NPI number 1427060987
LBN Legal business name Deleon, Conrado
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Apr 9th, 2019 - 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 1427060987 NPPES
Washington MEDICAID 1017094

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