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:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1265434385 | NPPES |
California | MEDICAID | RHM18553H | |
California | MEDICAID | ZZT40394F | |
California | MEDICAID | RHM08608F | |
California | MEDICAID | RHM08609F | |
California | Other | 95-1683892 |
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