Alice Sue Conrad

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

8001661 Issued in MO

Legal business name

ALICE SUE CONRAD

Practice address

1407 Saint Andrew St
Columbia, MO 65203-2327

Phone

(573) 875-6751

Fax

(573) 442-2086

NPI assigned

Mar 29, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Alice Sue Conrad

Title

Owner

Phone

(573) 875-6751

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1922128487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032327",
            "telephone_number": "573-875-6751",
            "fax_number": "573-442-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032327",
            "telephone_number": "573-875-6751",
            "fax_number": "573-442-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE SUE CONRAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-875-6751",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "8001661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sultan Omar Sultan Alhajahjeh, MD
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• Ahmad Hassan Ali, M.D.
• Fatima Ali
• Mahmoud A Ali
• Mounes Aliyari Ghasabeh, MD
• Vaid Aliyev, M.S., BCBA, LBA
• Salim A S Aljabari, MD
• Mohammad Alkhateeb, MD
• Mohd Mujahed Mazen Alkurdieh, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.