Conrad, Susan Maria

Conrad, Susan Maria is an individual health care provider with primary practice located at 1105 Schrock Rd 200, Columbus OH 43229-1146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Conrad, Susan Maria can be contacted via phone (614) 505-7633.

Contact Information

Primary practice address
1105 Schrock Rd 200 Columbus OH 43229-1146
Phone: (614) 505-7633
Fax: (614) 847-1106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101524 Florida

Profile Details

NPI number 1629047949
LBN Legal business name Conrad, Susan Maria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 29th, 2015 - about 10 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 1629047949 NPPES
Florida MEDICAID 291083700
Florida Other 9358461

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