Conklin Reynolds, Mary Anne
Conklin Reynolds, Mary Anne is an individual health care provider with primary practice located at 3170 W Central Ave , Toledo OH 43606-2945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Conklin Reynolds, Mary Anne can be contacted via phone (419) 534-3500.Contact Information
Primary practice address
3170 W Central Ave
Toledo OH 43606-2945
Phone: (419) 534-3500
Fax: (419) 534-2608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 35.059840 | Ohio |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301406532 | Michigan |
Profile Details
| NPI number | 1194784942 |
|---|---|
| LBN Legal business name | Conklin Reynolds, Mary Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jan 9th, 2015 - about 9 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 | 1194784942 | NPPES |
| Ohio | MEDICAID | 0805276 | |
| Ohio | MEDICAID | 3030916 |
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