Cathelyn, Tina

Cathelyn, Tina is an individual health care provider with primary practice located at 1106 4Th Ave , Moline IL 61265-1231. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Cathelyn, Tina can be contacted via phone (563) 336-3000.

Contact Information

Primary practice address
1106 4Th Ave Moline IL 61265-1231
Fax: (563) 327-2045
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 209-013475 Illinois

Profile Details

NPI number 1790159515
LBN Legal business name Cathelyn, Tina
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 2015 - about 10 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 1790159515 NPPES
Iowa MEDICAID PENDING
Iowa MEDICAID PENDING

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