Hamako, Conrad
Hamako, Conrad is an sole proprietor health care provider with primary practice located at 160 Green Valley Road Suite 202, Freedom CA 95019-3160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hamako, Conrad can be contacted via phone (931) 724-1353.Contact Information
Primary practice address
160 Green Valley Road Suite 202
Freedom CA 95019-3160
Phone: (931) 724-1353
Fax: (831) 724-9551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 00G252850 | California |
Profile Details
| NPI number | 1679675029 |
|---|---|
| LBN Legal business name | Hamako, Conrad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 24th, 2012 - about 14 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 | 1679675029 | NPPES |
| California | MEDICAID | 00G252850 |
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