Netchvolodoff, Catherine Vadime
Netchvolodoff, Catherine Vadime is an individual health care provider with primary practice located at 3050 Corder Dr , Corinth MS 38834-6210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Netchvolodoff, Catherine Vadime can be contacted via phone (662) 284-9995.Contact Information
Primary practice address
3050 Corder Dr
Corinth MS 38834-6210
Phone: (662) 284-9995
Fax: (662) 284-9920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | R-4121 | Arkansas |
Profile Details
| NPI number | 1497918593 |
|---|---|
| LBN Legal business name | Netchvolodoff, Catherine Vadime |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Jul 8th, 2008 - about 18 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 | 1497918593 | NPPES |
| Arkansas | Other | R4121 | ARKANSAS STATE MEDICAL LICENSE |
| Arkansas | Other | 19787 | ARKANSAS STATE MEDICAL LICENSE |
| Arkansas | MEDICAID | 118448001 | ARKANSAS STATE MEDICAL LICENSE |
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