Perez-Conde, Edward Alexander

Perez-Conde, Edward Alexander is an individual health care provider with primary practice located at 325 E H St , Iron Mountain MI 49801-4760. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Emergency Medicine. Other Service Providers / Military Health Care Provider is his primary health care specialty. Perez-Conde, Edward Alexander can be contacted via phone (906) 774-3300.

Contact Information

Primary practice address
325 E H St Iron Mountain MI 49801-4760
Phone: (906) 774-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 4301071310 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301071310 Michigan

Profile Details

NPI number 1124095591
LBN Legal business name Perez-Conde, Edward Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124095591 NPPES
Michigan Other 930124796 RR MEDICARE
Michigan Other 0102200921 RR MEDICARE

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