Conrad, Vicki Joyce
Conrad, Vicki Joyce is an sole proprietor health care provider with primary practice located at 1616 S Boulevard St Suite B, Edmond OK 73013-5155. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Conrad, Vicki Joyce can be contacted via phone (405) 341-5691.Contact Information
Primary practice address
1616 S Boulevard St Suite B
Edmond OK 73013-5155
Phone: (405) 341-5691
Fax: (405) 348-7543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 14083 | Oklahoma |
Profile Details
| NPI number | 1710052865 |
|---|---|
| LBN Legal business name | Conrad, Vicki Joyce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1710052865 | NPPES |
| Oklahoma | MEDICAID | 200081600A |
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