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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619045192 | NPPES |
| Indiana | MEDICAID | 1000829604 | |
| Indiana | Other | 0174970001 | |
| Indiana | Other | 000000220476 |
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