Back, Katherine Ann
Back, Katherine Ann is an individual health care provider with primary practice located at 2920 N Arlington Ave Ste B , Indianapolis IN 46218-3362. 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. Back, Katherine Ann can be contacted via phone (317) 355-9315.Contact Information
Primary practice address
2920 N Arlington Ave Ste B
Indianapolis IN 46218-3362
Phone: (317) 355-9315
Fax: (317) 355-9319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71005150A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 28198239A | Indiana |
Profile Details
| NPI number | 1578964169 |
|---|---|
| LBN Legal business name | Back, Katherine Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2014 |
| Last updated | Feb 13th, 2023 - about 2 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 | 1578964169 | NPPES |
| Indiana | Other | Q00416530 | RAILROAD MEDICARE |
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