Hart-Dittmer, Kathleen Patricia
Hart-Dittmer, Kathleen Patricia is an individual health care provider with primary practice located at 1520 7Th St , Moline IL 61265-2917. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Hart-Dittmer, Kathleen Patricia can be contacted via phone (309) 762-8555.Contact Information
Primary practice address
1520 7Th St
Moline IL 61265-2917
Phone: (309) 762-8555
Fax: (309) 736-0733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | Illinois | |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Illinois |
Profile Details
NPI number | 1972595924 |
---|---|
LBN Legal business name | Hart-Dittmer, Kathleen Patricia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1972595924 | NPPES |
Iowa | MEDICAID | 1962530 |
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