Conley, Brian

Conley, Brian is an individual health care provider with primary practice located at 3348 American Ave , Jefferson City MO 65109-1079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Conley, Brian can be contacted via phone (573) 761-7210.

Contact Information

Primary practice address
3348 American Ave Jefferson City MO 65109-1079
Phone: (573) 761-7210
Fax: (573) 634-5990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R3G39 Missouri

Profile Details

NPI number 1093746653
LBN Legal business name Conley, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 18th, 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 1093746653 NPPES
Missouri MEDICAID 202365201

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