Konrath, Gregory A

Konrath, Gregory A is an individual health care provider with primary practice located at 285 W 12Th St Ste 106, Peru IN 46970-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Konrath, Gregory A can be contacted via phone (765) 472-8041.

Contact Information

Primary practice address
285 W 12Th St Ste 106 Peru IN 46970-1653
Phone: (765) 472-8041
Fax: (765) 475-8956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01049739A Indiana

Profile Details

NPI number 1013986926
LBN Legal business name Konrath, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 18th, 2013 - about 12 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 1013986926 NPPES
Oklahoma MEDICAID 200343390A
Oklahoma MEDICAID 200212630

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