Conklin, Heidi Ann
Conklin, Heidi Ann is an individual health care provider with primary practice located at 6005 Monclova Rd Suite 320, Maumee OH 43537-1864. 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, Heidi Ann can be contacted via phone (419) 578-7555.Contact Information
Primary practice address
6005 Monclova Rd Suite 320
Maumee OH 43537-1864
Phone: (419) 578-7555
Fax: (419) 539-6336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP08124 | Ohio |
Profile Details
| NPI number | 1265686703 |
|---|---|
| LBN Legal business name | Conklin, Heidi Ann |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Nov 3rd, 2023 - about last year |
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 | 1265686703 | NPPES |
| Ohio | MEDICAID | 2429241 | |
| Ohio | MEDICAID | 2940509 |
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