Damota, Katie Sue

Damota, Katie Sue is an sole proprietor health care provider with primary practice located at 107 West Main Street #B, Grass Valley CA 95945. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Damota, Katie Sue can be contacted via phone (530) 637-8411.

Contact Information

Primary practice address
107 West Main Street #B Grass Valley CA 95945
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1659527216
LBN Legal business name Damota, Katie Sue
Credentials IBCLC, MAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Apr 21st, 2015 - about 9 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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