Konkin, Leslie A.

Konkin, Leslie A. is an sole proprietor health care provider with primary practice located at 1501 Oakdale Rd Ste 301 , Modesto CA 95355-3382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Konkin, Leslie A. can be contacted via phone (209) 571-5071.

Contact Information

Primary practice address
1501 Oakdale Rd Ste 301 Modesto CA 95355-3382
Phone: (209) 571-5071
Fax: (209) 577-1157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G24534 California

Profile Details

NPI number 1629081195
LBN Legal business name Konkin, Leslie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Apr 5th, 2020 - about 4 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 1629081195 NPPES
California Other 00G245341 INDIVIDUAL PTAN
California MEDICAID 9703018 INDIVIDUAL PTAN

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