Nordlie, William Conrad

Nordlie, William Conrad is an individual health care provider with primary practice located at 2421 E Southern Ave Ste 7 , Tempe AZ 85282-7612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nordlie, William Conrad can be contacted via phone (480) 425-2160.

Contact Information

Primary practice address
2421 E Southern Ave Ste 7 Tempe AZ 85282-7612
Phone: (480) 425-2160
Fax: (480) 351-8797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29285 Arizona

Profile Details

NPI number 1164492328
LBN Legal business name Nordlie, William Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 9th, 2022 - about 2 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 1164492328 NPPES
Other 050087344 MEDICARE RAILROAD
MEDICAID 593394 MEDICARE RAILROAD

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