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NPI Code Detail

MEDICARE: CONRAD CHIROPRACTIC & WELLNESS LLC

MEDICARE: CONRAD CHIROPRACTIC & WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterCO

General Provider Information

NPI Number : 1992841902
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONRAD CHIROPRACTIC & WELLNESS LLC
Provider Business Mailing Address
First Line : 5962 STETSON HILLS BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-3579
Country : US
Telephone Number : 719-596-8700
Fax Number : 719-596-8704
Provider Business Practice Location Address
First Line : 5962 STETSON HILLS BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-3579
Country : US
Telephone Number : 719-596-8700
Fax Number : 719-596-8704
Authorized Official
Title or Position : OWNER
Name : DR. SHANE REED CONRAD
Credential : D.C.
Telephone Number : 719-596-8700
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/22/2020

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Directions to “CONRAD CHIROPRACTIC & WELLNESS LLC ” Practice Location

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