Hebeisen, Katelyn
Hebeisen, Katelyn is an sole proprietor health care provider with primary practice located at 120 Sister Pierre Dr Ste 403 , Towson MD 21204-7536. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hebeisen, Katelyn can be contacted via phone (410) 823-6408.Contact Information
Primary practice address
120 Sister Pierre Dr Ste 403
Towson MD 21204-7536
Phone: (410) 823-6408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA059007 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0006186 | Maryland |
Profile Details
| NPI number | 1063865442 |
|---|---|
| LBN Legal business name | Hebeisen, Katelyn |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2016 |
| Last updated | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063865442 | NPPES |
| Maryland | Other | C0006186 | MARYLAND BOARD OF HEALTH |
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