Conard, Douglas S

Conard, Douglas S is an sole proprietor health care provider with primary practice located at 214 N Farabee Drive , Lafayette IN 47905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Conard, Douglas S can be contacted via phone (765) 447-2525.

Contact Information

Primary practice address
214 N Farabee Drive Lafayette IN 47905
Phone: (765) 447-2525
Fax: (765) 449-4206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01028562A Indiana

Profile Details

NPI number 1619045192
LBN Legal business name Conard, Douglas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Oct 29th, 2008 - about 18 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 1619045192 NPPES
Indiana MEDICAID 1000829604
Indiana Other 0174970001
Indiana Other 000000220476

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