Conklin, Jeffrey Allen
Conklin, Jeffrey Allen is an individual health care provider with primary practice located at 850 W Baraga Ave , Marquette MI 49855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Conklin, Jeffrey Allen can be contacted via phone (906) 449-3000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036.120418 | Illinois |
Profile Details
NPI number | 1598870719 |
---|---|
LBN Legal business name | Conklin, Jeffrey Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Jun 11th, 2019 - about 5 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 | 1598870719 | NPPES |
Illinois | Other | 036.120418 | PHYSICIAN LICENSE |
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