Conklin, Jeremy Henry
Conklin, Jeremy Henry is an individual health care provider with primary practice located at 999 N Curtis Rd Ste 415 , Boise ID 83706-1334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Conklin, Jeremy Henry can be contacted via phone (208) 302-2600.Contact Information
Primary practice address
999 N Curtis Rd Ste 415
Boise ID 83706-1334
Phone: (208) 302-2600
Fax: (208) 302-2625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | OP60816242 | Washington |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | CDR.0002122 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 364SC0200X | CDR.0002122 | Colorado |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | OC-0435 | Idaho |
Profile Details
NPI number | 1700830882 |
---|---|
LBN Legal business name | Conklin, Jeremy Henry |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2006 |
Last updated | Mar 5th, 2024 - about 6 months 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 | 1700830882 | NPPES |
Washington | MEDICAID | 1700830882 |
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