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

Primary practice address
288 Rose Ave Marion OH 43302-2844
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447865548 NPPES
Ohio MEDICAID 0400577

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