Bopp, Catherine M

Bopp, Catherine M is an individual health care provider with primary practice located at 1340 Charles St Ste 100 , Rockford IL 61104-2200. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bopp, Catherine M can be contacted via phone (779) 696-8700.

Contact Information

Primary practice address
1340 Charles St Ste 100 Rockford IL 61104-2200
Phone: (779) 696-8700
Fax: (779) 696-8745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-007148 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-007148 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7305 Wisconsin

Profile Details

NPI number 1598310849
LBN Legal business name Bopp, Catherine M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Oct 18th, 2023 - about 3 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 1598310849 NPPES
Wisconsin MEDICAID 100247750

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