Conklin, Matthew M

Conklin, Matthew M is an individual health care provider with primary practice located at 690 N Cofco Center Ct Suite 270, Phoenix AZ 85008-6462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Conklin, Matthew M can be contacted via phone (602) 393-1010.

Contact Information

Primary practice address
690 N Cofco Center Ct Suite 270 Phoenix AZ 85008-6462
Phone: (602) 393-1010
Fax: (602) 393-1011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 23552 Arizona

Profile Details

NPI number 1770698722
LBN Legal business name Conklin, Matthew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 16th, 2014 - about 12 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 1770698722 NPPES
Arizona Other 3Z3952 HEALTHNET
Arizona MEDICAID 321745 HEALTHNET

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