Conrad, Michael P

Conrad, Michael P is an individual health care provider with primary practice located at 1221 E Desoto St , Pensacola FL 32501-3337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Conrad, Michael P can be contacted via phone (850) 437-9997.

Contact Information

Primary practice address
1221 E Desoto St Pensacola FL 32501-3337
Phone: (850) 437-9997
Fax: (850) 439-2122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0055242 Florida

Profile Details

NPI number 1124063474
LBN Legal business name Conrad, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - 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 1124063474 NPPES
Other 08727 BCBS

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