Conkling, Justin Anthony

Conkling, Justin Anthony is an individual health care provider with primary practice located at 18101 Se44Th Street , Newalla OK 74857. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Conkling, Justin Anthony can be contacted via phone (405) 651-1879.

Contact Information

Primary practice address
18101 Se44Th Street Newalla OK 74857
Phone: (405) 651-1879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1831730142
LBN Legal business name Conkling, Justin Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2019
Last updated Oct 8th, 2019 - about 6 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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