Katchuk, Holly Sue
Katchuk, Holly Sue is an individual health care provider with primary practice located at 717 N Jefferson Street , Lewisburg WV 24901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Katchuk, Holly Sue can be contacted via phone (304) 645-2525.Contact Information
Primary practice address
717 N Jefferson Street
Lewisburg WV 24901
Phone: (304) 645-2525
Fax: (304) 645-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002103 | West Virginia |
Profile Details
| NPI number | 1558376285 |
|---|---|
| LBN Legal business name | Katchuk, Holly Sue |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1558376285 | NPPES |
| West Virginia | Other | 001712692 | MOUNTAIN STATE BLUE CROSS |
| West Virginia | MEDICAID | 3910001442 | MOUNTAIN STATE BLUE CROSS |
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