Conklin, Erica Rose Liss

Conklin, Erica Rose Liss is an individual health care provider with primary practice located at 104 Crepe Myrtle Ln , Jamestown NC 27282-8866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Conklin, Erica Rose Liss can be contacted via phone (630) 659-8147.

Contact Information

Primary practice address
104 Crepe Myrtle Ln Jamestown NC 27282-8866
Phone: (630) 659-8147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1336894252
LBN Legal business name Conklin, Erica Rose Liss
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Feb 18th, 2022 - about 4 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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