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
Phone: (563) 336-3000
Fax: (563) 327-2045
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790159515 | NPPES |
Iowa | MEDICAID | PENDING | |
Iowa | MEDICAID | PENDING |
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