Exten, Katherine Rebecca

Exten, Katherine Rebecca is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Exten, Katherine Rebecca can be contacted via phone (419) 756-2003.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 756-2003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.134806 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35131800 Ohio

Profile Details

NPI number 1982996237
LBN Legal business name Exten, Katherine Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Jan 25th, 2022 - about 3 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 1982996237 NPPES
Ohio MEDICAID 0233087

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