Cassidy, Katherine L

Cassidy, Katherine L is an individual health care provider with primary practice located at 1316 E 7Th St , Auburn IN 46706-2538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cassidy, Katherine L can be contacted via phone (260) 373-4000.

Contact Information

Primary practice address
1316 E 7Th St Auburn IN 46706-2538
Fax: (260) 482-4442
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01054605A Indiana

Profile Details

NPI number 1356336788
LBN Legal business name Cassidy, Katherine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 9th, 2024 - about last year

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 1356336788 NPPES
Indiana Other 000000214697 ANTHEM
Indiana MEDICAID 2521284 ANTHEM
Indiana MEDICAID 104874614 ANTHEM
Indiana Other 930113729 ANTHEM
Indiana Other 047840VVV ANTHEM
Indiana Other 000000010974 ANTHEM
Indiana MEDICAID 200364960 ANTHEM

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