Conrardy, Philip G
Conrardy, Philip G is an individual health care provider with primary practice located at 7620 W Burleigh St , Milwaukee WI 53222-5002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Conrardy, Philip G can be contacted via phone (414) 444-6000.Contact Information
Primary practice address
7620 W Burleigh St
Milwaukee WI 53222-5002
Phone: (414) 444-6000
Fax: (888) 664-5360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036124777 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 37204-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 30724-20 | Wisconsin |
Profile Details
| NPI number | 1780667683 |
|---|---|
| LBN Legal business name | Conrardy, Philip G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jun 22nd, 2015 - about 11 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 | 1780667683 | NPPES |
| Other | 050059549 | RAIL ROAD MEDICARE | |
| MEDICAID | 31916700 | RAIL ROAD MEDICARE |
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