Deleon, Conrado
Deleon, Conrado is an sole proprietor health care provider with primary practice located at 403 Canterbury Ln , Moses Lake WA 98837-1822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Deleon, Conrado can be contacted via phone (509) 592-9921.Contact Information
Primary practice address
403 Canterbury Ln
Moses Lake WA 98837-1822
Phone: (509) 592-9921
Fax: (509) 357-4645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00024096 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00024096 | Washington |
Profile Details
| NPI number | 1427060987 |
|---|---|
| LBN Legal business name | Deleon, Conrado |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Apr 9th, 2019 - about 7 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 | 1427060987 | NPPES |
| Washington | MEDICAID | 1017094 |
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