National Provider Identifier

Donald Jordan Conrad, D.C.

Donald Jordan Conrad, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Derby, NY and a listed phone number of (716) 947-0139.

NPI 1770748246Derby, NYChiropractor

Profile Overview

NPI
1770748246
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
July 24, 2008
Last Updated
November 19, 2020

Practice Location

  • 7060 Erie RD
  • Suite 300
  • Derby, NY 14047-9416

Phone: (716) 947-0139

Mailing Address

  • 6470 Main St
  • Ste 2
  • Williamsville, NY 14221-5851

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1770748246
Entity Type
Individual
Last Name
Conrad
First Name
Donald
Middle Name
Jordan
Credential
D.C.
Mailing Street Address
6470 Main St
Mailing Address Line 2
Ste 2
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5851
Mailing Country
US
Mailing Phone
(716) 580-3577
Practice Street Address
7060 Erie RD
Practice Address Line 2
Suite 300
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9416
Practice Country
US
Practice Phone
(716) 947-0139
Practice Fax
(716) 947-0320
Enumeration Date
July 24, 2008
Last Updated
November 19, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
November 19, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)