Ingersoll, Katherine

Ingersoll, Katherine is an individual health care provider with primary practice located at 940 E 8Th St , Traverse City MI 49686-2893. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ingersoll, Katherine can be contacted via phone (231) 922-4810.

Contact Information

Primary practice address
940 E 8Th St Traverse City MI 49686-2893
Phone: (231) 922-4810
Fax: (231) 929-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703095790 Michigan

Profile Details

NPI number 1861846388
LBN Legal business name Ingersoll, Katherine
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Apr 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861846388 NPPES
Michigan MEDICAID 1629431713
Michigan MEDICAID 1184087272

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