Conklin, Michelle Leigh

Conklin, Michelle Leigh is an individual health care provider with primary practice located at 4126 N Holland Sylvania Rd Ste 220 , Toledo OH 43623-3537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Conklin, Michelle Leigh can be contacted via phone (419) 517-7658.

Contact Information

Primary practice address
4126 N Holland Sylvania Rd Ste 220 Toledo OH 43623-3537
Phone: (419) 517-7658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.0029621 Ohio

Profile Details

NPI number 1790445245
LBN Legal business name Conklin, Michelle Leigh
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2021
Last updated Sep 6th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790445245 NPPES
Ohio MEDICAID 0344924

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