Bares, Katherine B
Bares, Katherine B is an individual health care provider with primary practice located at 8 Canal Ct , Avon CT 06001-3726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bares, Katherine B can be contacted via phone (860) 674-9686.Contact Information
Primary practice address
8 Canal Ct
Avon CT 06001-3726
Phone: (860) 674-9686
Fax: (860) 674-9954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 012667 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002520 | Connecticut |
Profile Details
| NPI number | 1134376304 |
|---|---|
| LBN Legal business name | Bares, Katherine B |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2008 |
| Last updated | Aug 23rd, 2016 - about 8 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 | 1134376304 | NPPES |
| New York | Other | 6020240 | MVP HEALTHCARE |
| New York | Other | 000418479001 | MVP HEALTHCARE |
| New York | Other | 080913000013 | MVP HEALTHCARE |
| New York | MEDICAID | 03046595 | MVP HEALTHCARE |
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