Black, Catherine M
Black, Catherine M is an individual health care provider with primary practice located at 339 W Main St , Avon CT 06001-4322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Black, Catherine M can be contacted via phone (860) 696-2150.Contact Information
Primary practice address
339 W Main St
Avon CT 06001-4322
Phone: (860) 696-2150
Fax: (860) 696-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP018464 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11328 | Connecticut |
Profile Details
| NPI number | 1720579840 |
|---|---|
| LBN Legal business name | Black, Catherine M |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2018 |
| Last updated | Dec 14th, 2022 - about 4 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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