Condon, Heather L
Condon, Heather L is an individual health care provider with primary practice located at 811 E Parrish Ave Ste 101 , Owensboro KY 42303-3258. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Condon, Heather L can be contacted via phone (270) 691-8040.Contact Information
Primary practice address
811 E Parrish Ave Ste 101
Owensboro KY 42303-3258
Phone: (270) 691-8040
Fax: (270) 691-8049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 49389 | Kentucky |
Profile Details
| NPI number | 1134461528 |
|---|---|
| LBN Legal business name | Condon, Heather L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2013 |
| Last updated | Apr 7th, 2022 - about 4 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 | 1134461528 | NPPES |
| Kentucky | MEDICAID | 7100411540 | |
| Kentucky | MEDICAID | 201388030 |
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