Conklin, Thomas R

Conklin, Thomas R is an individual health care provider with primary practice located at 294 E Moana Ln Suite 22, Reno NV 89502-4641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Conklin, Thomas R can be contacted via phone (775) 329-2020.

Contact Information

Primary practice address
294 E Moana Ln Suite 22 Reno NV 89502-4641
Phone: (775) 329-2020
Fax: (775) 827-0843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 3484 Nevada
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C033718 California

Profile Details

NPI number 1376542555
LBN Legal business name Conklin, Thomas R
Credentials MD PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 15th, 2008 - about 18 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 1376542555 NPPES
California MEDICAID FS4901304
California MEDICAID 0020.16648

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