Atala, Katherine
Atala, Katherine is an individual health care provider with primary practice located at Medical Center Blvd , Winston-Salem NC 27157. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Atala, Katherine can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston-Salem NC 27157
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2004-00796 | North Carolina |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2004-00796 | North Carolina |
Profile Details
| NPI number | 1548365299 |
|---|---|
| LBN Legal business name | Atala, Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 16th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548365299 | NPPES |
| Other | 4555059 | AETNA | |
| MEDICAID | 5905540 | AETNA | |
| Other | 1431F | AETNA | |
| Other | 192883 | AETNA |
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