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
Phone: (303) 440-3013
Fax: (303) 440-3178
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871676148 | NPPES |
| Colorado | Other | 020709 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 26028247 | KAISER COMMERCIAL NUMBER |
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