Conroy, David S

Conroy, David S is an sole proprietor health care provider with primary practice located at 1313 W Medina Ave , Mesa AZ 85202-6610. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Conroy, David S can be contacted via phone (480) 472-3906.

Contact Information

Primary practice address
1313 W Medina Ave Mesa AZ 85202-6610
Phone: (480) 472-3906
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1033250675
LBN Legal business name Conroy, David S
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 9th, 2007 - about 17 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 1033250675 NPPES
Arizona MEDICAID 582991

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