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Contact Information

STACEY S CONRAD, DC
8924 E 96TH ST
FISHERS, IN46037-9648
 Phone: 317-841-2700
 Fax: 317-841-2733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for STACEY S CONRAD · (Male)

NPI # 1982656328
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 05/16/2006
Last updated 03/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 08001084A
  • IN Medicaid 100126630A
  • IN Other 000000092856 ANTHEM PIN NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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