Conklin, Shannon Marie

Conklin, Shannon Marie is an individual health care provider with primary practice located at 269 Meadowview Dr , Peru IN 46970-8996. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care, which is considered as her primary health care specialty. Conklin, Shannon Marie can be contacted via phone (765) 472-8049.

Contact Information

Primary practice address
269 Meadowview Dr Peru IN 46970-8996
Phone: (765) 472-8049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care 364SL0600X 28200490A Indiana

Profile Details

NPI number 1710614094
LBN Legal business name Conklin, Shannon Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2022
Last updated Aug 5th, 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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