Bless, Cathy D

Bless, Cathy D is an individual health care provider with primary practice located at 1006 S Division St , Carterville IL 62918-1539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bless, Cathy D can be contacted via phone (618) 985-4841.

Contact Information

Primary practice address
1006 S Division St Carterville IL 62918-1539
Phone: (618) 985-4841
Fax: (618) 985-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002890 Illinois

Profile Details

NPI number 1669587804
LBN Legal business name Bless, Cathy D
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 9th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669587804 NPPES
Illinois Other 209-002890 STATE LICENSE NUMBER
Illinois MEDICAID 370966854004 STATE LICENSE NUMBER
Illinois MEDICAID 370966854015 STATE LICENSE NUMBER
Illinois Other CF3444 STATE LICENSE NUMBER
Illinois Other 073080 STATE LICENSE NUMBER

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