Bermingham Cordova, Katharine M
Bermingham Cordova, Katharine M is an sole proprietor health care provider with primary practice located at 14506 W Granite Valley Dr #206, Sun City West AZ 85375-6010. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Bermingham Cordova, Katharine M can be contacted via phone (623) 584-2127.Contact Information
Primary practice address
14506 W Granite Valley Dr #206
Sun City West AZ 85375-6010
Phone: (623) 584-2127
Fax: (623) 584-1257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 46040 | Arizona |
Profile Details
| NPI number | 1396962767 |
|---|---|
| LBN Legal business name | Bermingham Cordova, Katharine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jan 26th, 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 | 1396962767 | NPPES |
| Arizona | Other | 3044230 | UNITED HEALTHCARE |
| Arizona | Other | P01106960 | UNITED HEALTHCARE |
| Arizona | Other | 722830 | UNITED HEALTHCARE |
| Arizona | MEDICAID | 722830 | UNITED HEALTHCARE |
| Arizona | Other | 1396962767 | UNITED HEALTHCARE |
| Arizona | Other | 5Z0069 | UNITED HEALTHCARE |
| Arizona | Other | 1396962767 | UNITED HEALTHCARE |
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