Card, Katherine M
Card, Katherine M is an individual health care provider with primary practice located at 5641 Poplar Tent Rd Suite 101, Concord NC 28027-7533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Card, Katherine M can be contacted via phone (704) 782-1955.Contact Information
Primary practice address
5641 Poplar Tent Rd Suite 101
Concord NC 28027-7533
Phone: (704) 782-1955
Fax: (704) 782-3903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 012819 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-02010 | North Carolina |
Profile Details
| NPI number | 1194976381 |
|---|---|
| LBN Legal business name | Card, Katherine M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2008 |
| Last updated | Jan 2nd, 2019 - about 6 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 | 1194976381 | NPPES |
| South Carolina | MEDICAID | 1532PA | |
| South Carolina | MEDICAID | 1194976381 | |
| South Carolina | MEDICAID | 8102012 |
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