Flood, Katie Susan
Flood, Katie Susan is an sole proprietor health care provider with primary practice located at 644 Antelope Loop , Prescott AZ 86301-5733. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Flood, Katie Susan can be contacted via phone (480) 695-2644.Contact Information
Primary practice address
644 Antelope Loop
Prescott AZ 86301-5733
Phone: (480) 695-2644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 5742 | Arizona |
Profile Details
| NPI number | 1942754577 |
|---|---|
| LBN Legal business name | Flood, Katie Susan |
| Credentials | RDH, BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Aug 11th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942754577 | NPPES |
| Arizona | MEDICAID | 12 |
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