Conklin, Jeremy Henry

Conklin, Jeremy Henry is an individual health care provider with primary practice located at 999 N Curtis Rd Ste 415 , Boise ID 83706-1334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Conklin, Jeremy Henry can be contacted via phone (208) 302-2600.

Contact Information

Primary practice address
999 N Curtis Rd Ste 415 Boise ID 83706-1334
Phone: (208) 302-2600
Fax: (208) 302-2625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X OP60816242 Washington
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X CDR.0002122 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X CDR.0002122 Colorado
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X OC-0435 Idaho

Profile Details

NPI number 1700830882
LBN Legal business name Conklin, Jeremy Henry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2006
Last updated Mar 5th, 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 1700830882 NPPES
Washington MEDICAID 1700830882

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