Blank, Kate M

Blank, Kate M is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. 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. Blank, Kate M can be contacted via phone (608) 825-3500.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Phone: (608) 825-3500
Fax: (608) 825-3786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2352-23 Wisconsin

Profile Details

NPI number 1073758884
LBN Legal business name Blank, Kate M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2008
Last updated Nov 3rd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073758884 NPPES
Wisconsin MEDICAID 1073758884

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