Bilak, Kathleen M
Bilak, Kathleen M is an individual health care provider with primary practice located at 6525 W Sack Dr Ste 105 , Glendale AZ 85308-7106. 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. Bilak, Kathleen M can be contacted via phone (602) 274-4484.Contact Information
Primary practice address
6525 W Sack Dr Ste 105
Glendale AZ 85308-7106
Phone: (602) 274-4484
Fax: (602) 287-9406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1586 | Arizona |
Profile Details
| NPI number | 1215052345 |
|---|---|
| LBN Legal business name | Bilak, Kathleen M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Apr 6th, 2011 - about 14 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 | 1215052345 | NPPES |
| Arizona | Other | 1022820 | NCCPA CERTIFICATE |
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