Everding, Katina A
Everding, Katina A is an sole proprietor health care provider with primary practice located at 2484 S Business 31 Suite C, Peru IN 46970-7312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Everding, Katina A can be contacted via phone (765) 472-2722.Contact Information
Primary practice address
2484 S Business 31 Suite C
Peru IN 46970-7312
Phone: (765) 472-2722
Fax: (765) 472-2722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002806A | Indiana |
Profile Details
| NPI number | 1538314356 |
|---|---|
| LBN Legal business name | Everding, Katina A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2008 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538314356 | NPPES |
| Indiana | MEDICAID | 201163600 |
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