Conklin, Peter
Conklin, Peter is an individual health care provider with primary practice located at 250 Thompson St , Saint Paul MN 55102-2370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Conklin, Peter can be contacted via phone (651) 292-2000.Contact Information
Primary practice address
250 Thompson St
Saint Paul MN 55102-2370
Phone: (651) 292-2000
Fax: (651) 292-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 31824 | Minnesota |
Profile Details
| NPI number | 1447200605 |
|---|---|
| LBN Legal business name | Conklin, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Apr 25th, 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 | 1447200605 | NPPES |
| Minnesota | MEDICAID | 673307700 |
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