Lorraine Conklin in Fort Wayne - Physician Assistant
Lorraine Conklin - NPI 1619915188
Lorraine Conklin is a Physician Assistant in Fort Wayne, Indiana. Lorraine Conklin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lorraine Conklin is 1619915188. The last update date is 2020-09-16.
Lorraine Conklin's current location address is 7333 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604357334 and fax number 2604357748. The mailing address for Lorraine Conklin is 7333 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lorraine Conklin |
|---|---|
| Address | 7333 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604357334 |
| Fax Number | 2604357748 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1619915188 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2020-09-16 |
Provider Mailing Address Detail
| Address | 7333 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046280 |
| Phone Number | 2604357334 |
| Fax Number | 2604357748 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000299A |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 668020U | IN | MEDICARE ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lorraine Conklin by the Centers for Medicare & Medicaid Services?
The Lorraine Conklin has been issued the NPI (National Provider Identifier) 1619915188 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lorraine Conklin is located?
The Lorraine Conklin is situated at the following address: 7333 W Jefferson Blvd, Fort Wayne, IN, 468046280.
On what date did the Centers for Medicare & Medicaid Services assign the 1619915188 to Lorraine Conklin?
The Centers for Medicare & Medicaid Services assigned the 1619915188 to Lorraine Conklin on 2006-06-04.
When was the information related to Lorraine Conklin most recently updated or refreshed?
The details pertaining to the Lorraine Conklin, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-16.
As of what date was the information regarding Lorraine Conklin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lorraine Conklin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-16.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI