Sporer, Katharine C

Sporer, Katharine C is an individual health care provider with primary practice located at 107 E Mantua Ave , Wenonah NJ 08090-1950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Sporer, Katharine C can be contacted via phone (856) 468-6868.

Contact Information

Primary practice address
107 E Mantua Ave Wenonah NJ 08090-1950
Fax: (856) 464-1855
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NO07781900 New Jersey

Profile Details

NPI number 1396725792
LBN Legal business name Sporer, Katharine C
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 21st, 2009 - about 12 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 1396725792 NPPES
New Jersey MEDICAID 2793407

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