Jon W. Conrad in Coffeyville - General Practice
Jon W. Conrad - NPI 1336111343
Jon W. Conrad is a General Practice in Coffeyville, Kansas. Jon W. Conrad practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jon W. Conrad is 1336111343. The last update date is 2015-01-23.
Jon W. Conrad's current location address is 808 Willow St, Coffeyville, Kansas. You can contact this provider via phone number 6202513920 and fax number 6202513923. The mailing address for Jon W. Conrad is 808 Willow St, Coffeyville, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon W. Conrad |
|---|---|
| Address | 808 Willow St, Coffeyville, Kansas |
| Phone Number | 6202513920 |
| Fax Number | 6202513923 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1336111343 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 808 Willow St |
|---|---|
| City | Coffeyville |
| State | Kansas (KS) |
| Post Code | 673375851 |
| Phone Number | 6202513920 |
| Fax Number | 6202513923 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5417 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8906 | KS | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jon W. Conrad by the Centers for Medicare & Medicaid Services?
The Jon W. Conrad has been assigned the NPI (National Provider Identifier) 1336111343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jon W. Conrad's facilities are situated?
The facilities of Jon W. Conrad are physically located at the following address: 808 Willow St, Coffeyville, KS, 673375851.
What is Jon W. Conrad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jon W. Conrad's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1336111343 assigned to Jon W. Conrad?
The Jon W. Conrad was issued its 1336111343 on 2006-02-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jon W. Conrad, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jon W. Conrad, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-23.