Hendricks, Katrina A.

Hendricks, Katrina A. is an individual health care provider with primary practice located at 3624 Delta Fair Blvd , Antioch CA 94509-4006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hendricks, Katrina A. can be contacted via phone (925) 779-5090.

Contact Information

Primary practice address
3624 Delta Fair Blvd Antioch CA 94509-4006
Phone: (925) 779-5090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A79961 California

Profile Details

NPI number 1699852525
LBN Legal business name Hendricks, Katrina A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Dec 20th, 2021 - 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 1699852525 NPPES
California MEDICAID 00A799610

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