Conrad, Rachel A
Conrad, Rachel A is an individual health care provider with primary practice located at 147 Willow Tree Way , Hurricane WV 25526-1085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Conrad, Rachel A can be contacted via phone (304) 397-3002.Contact Information
Primary practice address
147 Willow Tree Way
Hurricane WV 25526-1085
Phone: (304) 397-3002
Fax: (304) 397-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 49148 | West Virginia |
Profile Details
| NPI number | 1043234156 |
|---|---|
| LBN Legal business name | Conrad, Rachel A |
| Credentials | CS FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Apr 21st, 2021 - about 5 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 | 1043234156 | NPPES |
| Kentucky | MEDICAID | 7100066180 | |
| Kentucky | MEDICAID | 2812497 | |
| Kentucky | MEDICAID | 7104196000 |
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