Conkle, Rosette Marie

Conkle, Rosette Marie is an individual health care provider with primary practice located at 252 S 4Th St , Lebanon PA 17042-6111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Conkle, Rosette Marie can be contacted via phone (717) 270-7500.

Contact Information

Primary practice address
252 S 4Th St Lebanon PA 17042-6111
Phone: (717) 270-7500
Fax: (717) 228-1642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN341972L Pennsylvania

Profile Details

NPI number 1285689042
LBN Legal business name Conkle, Rosette Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Aug 4th, 2023 - about 2 years ago

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 1285689042 NPPES
Pennsylvania MEDICAID 001923850
Pennsylvania Other 48502
Pennsylvania Other 50091141
Pennsylvania Other G920-0143/85XWCU
Pennsylvania Other RN341972L
Pennsylvania Other 050514

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