Andersen, Katherine

Andersen, Katherine is an sole proprietor health care provider with primary practice located at 606 South Rio Grande Ave. Suite B, Aztec NM 87410. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Andersen, Katherine can be contacted via phone (505) 334-2008.

Contact Information

Primary practice address
606 South Rio Grande Ave. Suite B Aztec NM 87410
Fax: (505) 334-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 208 New Mexico

Profile Details

NPI number 1467531921
LBN Legal business name Andersen, Katherine
Credentials D.O.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1467531921 NPPES
New Mexico Other NM01R303 BLUE CROSS

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