Genesis Chiropractic

LBN: D.Jordan Conrad Dc Pc
Genesis Chiropractic is an health care organization with primary practice located at 313 Elmwood Ave , Buffalo NY 14222-2203. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. D.Jordan Conrad Dc Pc can be contacted via phone (716) 882-8800, or through Conrad, D. Jordan via phone (716) 882-8800.

Contact Information

Primary practice address
313 Elmwood Ave Buffalo NY 14222-2203
Phone: (716) 882-8800
Fax: (716) 881-1382
Website:
Map and Directions
Authorized official contact:
Name: Conrad, D. Jordan Doctor of Chiropractic (DC)
Phone: (716) 882-8800

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X0114531 New York

Profile Details

NPI number 1710200100
LBN Legal business name D.Jordan Conrad Dc Pc
DBA Doing business as Genesis Chiropractic
Authorized official Conrad, D. Jordan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2010
Last updated Dec 4th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710200100 NPPES
New York MEDICAID 05084895

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