Conklin, Teresa M
Conklin, Teresa M is an sole proprietor health care provider with primary practice located at 400 S Orange Ave , South Orange NJ 07079-2646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Conklin, Teresa M can be contacted via phone (973) 761-9175.Contact Information
Primary practice address
400 S Orange Ave
South Orange NJ 07079-2646
Phone: (973) 761-9175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NO09584600 | New Jersey |
Profile Details
| NPI number | 1275769176 |
|---|---|
| LBN Legal business name | Conklin, Teresa M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2009 |
| Last updated | Jul 14th, 2014 - about 11 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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