Conrad, George Thomas

Conrad, George Thomas is an individual health care provider with primary practice located at 1015 W Washbourne St , Jay OK 74346-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conrad, George Thomas can be contacted via phone (918) 253-4271.

Contact Information

Primary practice address
1015 W Washbourne St Jay OK 74346-4205
Phone: (918) 253-4271
Fax: (918) 253-2531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18331 Oklahoma

Profile Details

NPI number 1245223858
LBN Legal business name Conrad, George Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 15 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 1245223858 NPPES
Oklahoma Other 18331 STATE LICENSE

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