Conly, Bryce Wade

Conly, Bryce Wade is an individual health care provider with primary practice located at 705 W Lowry Rd Ste #101, Claremore OK 74017-2106. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Conly, Bryce Wade can be contacted via phone (918) 697-8945.

Contact Information

Primary practice address
705 W Lowry Rd Ste #101 Claremore OK 74017-2106
Phone: (918) 697-8945
Fax: (918) 341-3779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3731 Oklahoma

Profile Details

NPI number 1538104369
LBN Legal business name Conly, Bryce Wade
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated May 4th, 2014 - about 10 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 1538104369 NPPES
Oklahoma MEDICAID 2000063070A

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