Mellon-Ketchum, Catherine
Mellon-Ketchum, Catherine is an individual health care provider with primary practice located at 98 N Court St , Westminster MD 21157-9300. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mellon-Ketchum, Catherine can be contacted via phone (410) 848-6100.Contact Information
Primary practice address
98 N Court St
Westminster MD 21157-9300
Phone: (410) 848-6100
Fax: (410) 876-5187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SC1435 | Maryland |
Profile Details
| NPI number | 1760751390 |
|---|---|
| LBN Legal business name | Mellon-Ketchum, Catherine |
| Credentials | CSC-AD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2011 |
| Last updated | Dec 28th, 2011 - about 15 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 | 1760751390 | NPPES |
| Maryland | MEDICAID | 420658400 |
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