Withrow, John Conrad
Withrow, John Conrad is an individual health care provider with primary practice located at 207 Balfour Dr Ste 102, Archdale NC 27263-3532. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Withrow, John Conrad can be contacted via phone (336) 875-8134.Contact Information
Primary practice address
207 Balfour Dr Ste 102
Archdale NC 27263-3532
Phone: (336) 875-8134
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | PHYSICIAN-ERAS | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 246053 | North Carolina |
Profile Details
NPI number | 1235538836 |
---|---|
LBN Legal business name | Withrow, John Conrad |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2014 |
Last updated | Dec 6th, 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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