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Contact Information

THOMAS R CONKLIN MD A PROFESSIONAL CORPORATION
294 E MOANA LN
SUITE 22
RENO, NV89502-4641
 Phone: 775-329-2020
 Fax: 775-827-0843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for THOMAS R CONKLIN MD A PROFESSIONAL CORPORATION

NPI Number 1922175173
LBN Legal business name THOMAS R CONKLIN MD A PROFESSIONAL CORPORATION
Authorized official THOMAS CONKLIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 06/03/2013 - About 13 years ago
Identifiers
CA License # C033718
NV License # 3484
NV Medicaid 002016648
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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