Conklin, Matthew John
Conklin, Matthew John is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Conklin, Matthew John can be contacted via phone (208) 322-1730.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1352
Phone: (208) 322-1730
Fax: (208) 322-1731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M8609 | Idaho |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD177951 | Oregon |
Profile Details
| NPI number | 1922052448 |
|---|---|
| LBN Legal business name | Conklin, Matthew John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Oct 25th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922052448 | NPPES |
| Idaho | MEDICAID | 806371800 |
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