Nishida, Kathleen M
Nishida, Kathleen M is an individual health care provider with primary practice located at 4510 Frankford Ave , Philadelphia PA 19124-3602. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Providers / Registered Nurse. Other Service Providers / Midwife is her primary health care specialty. Nishida, Kathleen M can be contacted via phone (215) 744-1302.Contact Information
Primary practice address
4510 Frankford Ave
Philadelphia PA 19124-3602
Phone: (215) 744-1302
Fax: (215) 744-2544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | MW008566L | Pennsylvania |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN355082L | Pennsylvania |
Profile Details
| NPI number | 1003913823 |
|---|---|
| LBN Legal business name | Nishida, Kathleen M |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 6th, 2017 - about 9 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 | 1003913823 | NPPES |
| Pennsylvania | MEDICAID | 001792598 |
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