Conrad, William Robert

Conrad, William Robert is an individual health care provider with primary practice located at 720 S Van Buren St Suite 301, Green Bay WI 54301-3538. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Conrad, William Robert can be contacted via phone (920) 433-9400.

Contact Information

Primary practice address
720 S Van Buren St Suite 301 Green Bay WI 54301-3538
Phone: (920) 433-9400
Fax: (920) 433-9409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1794-023 Wisconsin

Profile Details

NPI number 1801898564
LBN Legal business name Conrad, William Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801898564 NPPES
Wisconsin MEDICAID 41994800

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