Conley, Jarod Alexander

Conley, Jarod Alexander is an individual health care provider with primary practice located at 2750 Broadway St , Boulder CO 80304-3586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Conley, Jarod Alexander can be contacted via phone (303) 440-3013.

Contact Information

Primary practice address
2750 Broadway St Boulder CO 80304-3586
Fax: (303) 440-3178
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2007012256 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 48544 Colorado

Profile Details

NPI number 1871676148
LBN Legal business name Conley, Jarod Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 25th, 2025 - about last year

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 1871676148 NPPES
Colorado Other 020709 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 26028247 KAISER COMMERCIAL NUMBER

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