Conkle, Jill Alison
Conkle, Jill Alison is an individual health care provider with primary practice located at 1141 N Monroe Dr , Xenia OH 45385-1619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Conkle, Jill Alison can be contacted via phone (937) 372-3638.Contact Information
Primary practice address
1141 N Monroe Dr
Xenia OH 45385-1619
Phone: (937) 372-3638
Fax: (937) 372-3642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50000288 | Ohio |
Profile Details
| NPI number | 1144390394 |
|---|---|
| LBN Legal business name | Conkle, Jill Alison |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Sep 17th, 2013 - about 13 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 | 1144390394 | NPPES |
| Ohio | Other | 50000288 | OHIO LICENSE |
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