Conklin, Jacob Ezra

Conklin, Jacob Ezra is an individual health care provider with primary practice located at 885 N Sandusky Ave , Upper Sandusky OH 43351-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Conklin, Jacob Ezra can be contacted via phone (419) 731-4282.

Contact Information

Primary practice address
885 N Sandusky Ave Upper Sandusky OH 43351-1098
Phone: (419) 731-4282
Fax: (419) 731-4163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C2450 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35091628 Ohio

Profile Details

NPI number 1588842314
LBN Legal business name Conklin, Jacob Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Apr 25th, 2024 - about 2 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 1588842314 NPPES
Ohio MEDICAID 2916778

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