Conrad, Regina

Conrad, Regina is an individual health care provider with primary practice located at 7612 Picardy Ave Ste C , Baton Rouge LA 70808-4353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Conrad, Regina can be contacted via phone (225) 767-3800.

Contact Information

Primary practice address
7612 Picardy Ave Ste C Baton Rouge LA 70808-4353
Phone: (225) 767-3800
Fax: (225) 766-8001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD200308 Louisiana

Profile Details

NPI number 1639121650
LBN Legal business name Conrad, Regina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 2nd, 2009 - about 17 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 1639121650 NPPES
Florida MEDICAID 271313600

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