Balcer, Conrad S.

Balcer, Conrad S. is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Balcer, Conrad S. can be contacted via phone (573) 635-5264.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax: (573) 761-4611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3H14 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R3H14 Missouri

Profile Details

NPI number 1033199740
LBN Legal business name Balcer, Conrad S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 31st, 2008 - about 16 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 1033199740 NPPES
Missouri Other 000010688 MCR GROUP
Missouri Other 260021839 MCR GROUP
Missouri Other 153505 MCR GROUP
Missouri MEDICAID 243024726 MCR GROUP
Missouri Other CP9089 MCR GROUP
Missouri Other 112014 MCR GROUP

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