Roberson, Conrad E.
Roberson, Conrad E. is an sole proprietor health care provider with primary practice located at 1910 Idaho St Suite # 101, Elko NV 89801-2692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Roberson, Conrad E. can be contacted via phone (775) 738-6256.Contact Information
Primary practice address
1910 Idaho St Suite # 101
Elko NV 89801-2692
Phone: (775) 738-6256
Fax: (775) 738-9469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 1099 | Nevada |
Profile Details
| NPI number | 1144368523 |
|---|---|
| LBN Legal business name | Roberson, Conrad E. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Mar 4th, 2014 - about 12 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 | 1144368523 | NPPES |
| Nevada | MEDICAID | 100500738 |
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