Provider Demographics
NPI:1710199898
Name:CONRAD, ALLEN A II (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:A
Last Name:CONRAD
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 WELSH RD
Mailing Address - Street 2:WELSH COMMONS, SUITE B-2
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1913
Mailing Address - Country:US
Mailing Address - Phone:215-628-2529
Mailing Address - Fax:215-583-3486
Practice Address - Street 1:1364 WELSH RD
Practice Address - Street 2:WELSH COMMONS, SUITE B-2
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1913
Practice Address - Country:US
Practice Address - Phone:215-628-2529
Practice Address - Fax:215-583-3486
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-008001-L111NR0400X
PAADJ-008001-L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation