Conklin, Diane Eileen
Conklin, Diane Eileen is an sole proprietor health care provider with primary practice located at 42525 Rancho Mirage Ln , Rancho Mirage CA 92270-4312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conklin, Diane Eileen can be contacted via phone (760) 776-6543.Contact Information
Primary practice address
42525 Rancho Mirage Ln
Rancho Mirage CA 92270-4312
Phone: (760) 776-6543
Fax: (760) 776-6546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 12169 | California |
Profile Details
| NPI number | 1609977263 |
|---|---|
| LBN Legal business name | Conklin, Diane Eileen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609977263 | NPPES |
| California | Other | LCS121690 | BLUESHIELD PIN |
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