Conrad, Stacey Scot

Conrad, Stacey Scot is an individual health care provider with primary practice located at 8924 E 96Th St , Fishers IN 46037-9648. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Conrad, Stacey Scot can be contacted via phone (317) 841-2700.

Contact Information

Primary practice address
8924 E 96Th St Fishers IN 46037-9648
Phone: (317) 841-2700
Fax: (317) 841-2733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 08001084A Indiana

Profile Details

NPI number 1982656328
LBN Legal business name Conrad, Stacey Scot
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 25th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982656328 NPPES
Indiana MEDICAID 100126630A
Indiana Other 000000092856

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