Easley, Conrad Harlan

Easley, Conrad Harlan is an sole proprietor health care provider with primary practice located at 1501 Broadrick Drive Suite 3, Dalton GA 30720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Easley, Conrad Harlan can be contacted via phone (706) 226-6318.

Contact Information

Primary practice address
1501 Broadrick Drive Suite 3 Dalton GA 30720
Phone: (706) 226-6318
Fax: (706) 278-6031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 11323 Georgia

Profile Details

NPI number 1326157488
LBN Legal business name Easley, Conrad Harlan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Feb 28th, 2020 - 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 1326157488 NPPES
Georgia MEDICAID 000084389A
Georgia Other 203503540
Georgia Other 1326157488
Georgia MEDICAID 00084389A

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