Conrardy, Beth A
Conrardy, Beth A is an individual health care provider with primary practice located at 3015 N Ballas Rd , Saint Louis MO 63131-2329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Conrardy, Beth A can be contacted via phone (314) 286-1054.Contact Information
Primary practice address
3015 N Ballas Rd
Saint Louis MO 63131-2329
Phone: (314) 286-1054
Fax: (314) 747-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2011013355 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2011013355 | Missouri |
Profile Details
| NPI number | 1275725129 |
|---|---|
| LBN Legal business name | Conrardy, Beth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Oct 22nd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275725129 | NPPES |
| Illinois | MEDICAID | 036130988 |
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