Conklin, John Edward
Conklin, John Edward is an individual health care provider with primary practice located at 112 North Monroe Street , Rockford MI 49641-1419. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Conklin, John Edward can be contacted via phone (616) 866-4445.Contact Information
Primary practice address
112 North Monroe Street
Rockford MI 49641-1419
Phone: (616) 866-4445
Fax: (616) 866-4409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9219 | Michigan |
Profile Details
| NPI number | 1811022031 |
|---|---|
| LBN Legal business name | Conklin, John Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1811022031 | NPPES |
| Michigan | Other | D092190 | BCBS |
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