Conklin, Angela K

Conklin, Angela K is an individual health care provider with primary practice located at 1120 Healthcare Dr , Mount Carroll IL 61053-1461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Conklin, Angela K can be contacted via phone (815) 244-4181.

Contact Information

Primary practice address
1120 Healthcare Dr Mount Carroll IL 61053-1461
Phone: (815) 244-4181
Fax: (815) 244-4185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209006719 Illinois

Profile Details

NPI number 1508050683
LBN Legal business name Conklin, Angela K
Credentials APN/CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Oct 20th, 2017 - about 8 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 1508050683 NPPES
Illinois Other 209-006719 APN LICENSE

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