Konrad, Sally

Konrad, Sally is an individual health care provider with primary practice located at 6330 W Thunderbird Rd , Glendale AZ 85306-4002. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Konrad, Sally can be contacted via phone (623) 486-6000.

Contact Information

Primary practice address
6330 W Thunderbird Rd Glendale AZ 85306-4002
Phone: (623) 486-6000
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1366613564
LBN Legal business name Konrad, Sally
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Apr 14th, 2008 - 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 1366613564 NPPES
Arizona MEDICAID 624644

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