Conklin, Thomas E

Conklin, Thomas E is an sole proprietor health care provider with primary practice located at 18417 Nordhoff St Suite# B, Northridge CA 91325-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Conklin, Thomas E can be contacted via phone (818) 701-0551.

Contact Information

Primary practice address
18417 Nordhoff St Suite# B Northridge CA 91325-2200
Phone: (818) 701-0551
Fax: (818) 701-5360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 156153 Massachusetts

Profile Details

NPI number 1124066436
LBN Legal business name Conklin, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124066436 NPPES
California Other G44486 LICENSE NUMBER

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