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Contact Information

JEREMY H CONKLIN, DO
999 N CURTIS RD STE 415
BOISE, ID83706-1334
 Phone: 208-302-2600
 Fax: 208-302-2625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Critical Care Medicine

364SC0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JEREMY H CONKLIN · (Male)

NPI Number 1700830882
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/21/2006
Last updated 03/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CO License # CDR.0002122
  • ID License # OC-0435
  • WA License # OP60816242
  • WA Medicaid 1700830882
Hospital affiliation(s)
  • UNIVERSITY OF ARIZONA MEDICAL CTR-UNIVERSITY THE - (Acute Care)
    1501 NORTH CAMPBELL AVENUE
    TUCSON, AZ 85724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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