Fernandes, Katie Lynn
Fernandes, Katie Lynn is an individual health care provider with primary practice located at 2128 Elmwood Ave , Buffalo NY 14207-1910. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Fernandes, Katie Lynn can be contacted via phone (716) 874-4500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1598303489 |
|---|---|
| LBN Legal business name | Fernandes, Katie Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Dec 11th, 2019 - about 7 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 | 1598303489 | NPPES |
| New York | MEDICAID | 01465154 |
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