Canada, Katrina Jean
Canada, Katrina Jean is an sole proprietor health care provider with primary practice located at 288 Rose Ave , Marion OH 43302-2844. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Canada, Katrina Jean can be contacted via phone (419) 617-2190.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | 5101502 | Ohio |
Profile Details
NPI number | 1447865548 |
---|---|
LBN Legal business name | Canada, Katrina Jean |
Credentials | INDEPENDENT PROVIDER |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 15th, 2020 |
Last updated | Feb 17th, 2024 - about 7 months 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 | 1447865548 | NPPES |
Ohio | MEDICAID | 0400577 |
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