Ingram, Cathryn Diane

Ingram, Cathryn Diane is an individual health care provider with primary practice located at 138 W Main St Suite E, F, G, Ventura CA 93001-2584. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ingram, Cathryn Diane can be contacted via phone (805) 667-2850.

Contact Information

Primary practice address
138 W Main St Suite E, F, G Ventura CA 93001-2584
Phone: (805) 667-2850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN CA326459, NP8826 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13939 California

Profile Details

NPI number 1265434385
LBN Legal business name Ingram, Cathryn Diane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 26th, 2013 - about 12 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 1265434385 NPPES
California MEDICAID RHM18553H
California MEDICAID ZZT40394F
California MEDICAID RHM08608F
California MEDICAID RHM08609F
California Other 95-1683892

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