Courain, Kathy

Courain, Kathy is an sole proprietor health care provider with primary practice located at 349 Passaic Ave , Nutley NJ 07110-2738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Courain, Kathy can be contacted via phone (973) 667-8889.

Contact Information

Primary practice address
349 Passaic Ave Nutley NJ 07110-2738
Phone: (973) 667-8889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NO06767100 New Jersey

Profile Details

NPI number 1972983062
LBN Legal business name Courain, Kathy
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2015
Last updated Dec 26th, 2023 - about 2 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 1972983062 NPPES
New Jersey MEDICAID 0964034

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