Conklin, Joe

Conklin, Joe is an sole proprietor health care provider with primary practice located at 1599 State St , Salem OR 97301-4255. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Conklin, Joe can be contacted via phone (503) 363-3260.

Contact Information

Primary practice address
1599 State St Salem OR 97301-4255
Fax: (503) 363-3260
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1417462243
LBN Legal business name Conklin, Joe
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2017
Last updated Dec 1st, 2017 - about 8 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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