Deford, Katherine L
Deford, Katherine L is an sole proprietor health care provider with primary practice located at 8410 S 73Rd Plz Suite 104, Papillion NE 68046-1513. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Deford, Katherine L can be contacted via phone (402) 592-2219.Contact Information
Primary practice address
8410 S 73Rd Plz Suite 104
Papillion NE 68046-1513
Phone: (402) 592-2219
Fax: (402) 597-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6354 | Nebraska |
Profile Details
| NPI number | 1407075039 |
|---|---|
| LBN Legal business name | Deford, Katherine L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Dec 9th, 2011 - about 14 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 | 1407075039 | NPPES |
| Nebraska | MEDICAID | 10025816800 |
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