Swartz, Conrad M
Swartz, Conrad M is an individual health care provider with primary practice located at 12911 Nw 25Th Ct , Vancouver WA 98685-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Swartz, Conrad M can be contacted via phone (360) 597-3754.Contact Information
Primary practice address
12911 Nw 25Th Ct
Vancouver WA 98685-2036
Phone: (360) 597-3754
Fax: (888) 523-2128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD27984 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00048916 | Washington |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | MD27984 | Oregon |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | MD00048916 | Washington |
Profile Details
| NPI number | 1235117813 |
|---|---|
| LBN Legal business name | Swartz, Conrad M |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Mar 1st, 2013 - about 13 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 | 1235117813 | NPPES |
| Washington | MEDICAID | 8532251 | |
| Washington | MEDICAID | 036064553 |
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