Edgar M Conrad Iv, Llc

LBN: Edgar M Conrad Iv, Llc
Edgar M Conrad Iv, Llc is an health care organization with primary practice located at 2700 Cunningham Ave Suite 103, Joplin MO 64801-1570. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Edgar M Conrad Iv, Llc can be contacted via phone (417) 782-3292, or through Conrad, Edgar M via phone (414) 782-3292.

Contact Information

Primary practice address
2700 Cunningham Ave Suite 103 Joplin MO 64801-1570
Phone: (417) 782-3292
Fax: (417) 782-4024
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Edgar M Doctor of Osteopathy (DO)
Phone: (414) 782-3292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 107748 Missouri

Profile Details

NPI number 1336309228
LBN Legal business name Edgar M Conrad Iv, Llc
DBA Doing business as
Authorized official Conrad, Edgar M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2008
Last updated Aug 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336309228 NPPES
Missouri MEDICAID 248016636

Popular Providers