Cassie, Conrad Douglas

Cassie, Conrad Douglas is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cassie, Conrad Douglas can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 826-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 226793 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51520 Wisconsin

Profile Details

NPI number 1871554303
LBN Legal business name Cassie, Conrad Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2006
Last updated Sep 26th, 2014 - 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 1871554303 NPPES
Wisconsin MEDICAID 35111700

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