Attong-Jackson, Katherine Carol

Attong-Jackson, Katherine Carol is an individual health care provider with primary practice located at 438 Main St Suite 204, Middletown CT 06457-3396. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Attong-Jackson, Katherine Carol can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
438 Main St Suite 204 Middletown CT 06457-3396
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000804 Connecticut

Profile Details

NPI number 1255349973
LBN Legal business name Attong-Jackson, Katherine Carol
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 24th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255349973 NPPES
Connecticut Other P00235739 MEDICARE RAILROAD
Connecticut MEDICAID 004251047 MEDICARE RAILROAD

Popular Providers