Jantac, Katherine Delgado
Jantac, Katherine Delgado is an individual health care provider with primary practice located at 6334 Cedar Ln Suite 103, Columbia MD 21044-3898. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Jantac, Katherine Delgado can be contacted via phone (410) 531-2355.Contact Information
Primary practice address
6334 Cedar Ln Suite 103
Columbia MD 21044-3898
Phone: (410) 531-2355
Fax: (410) 531-7041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R121680 | Maryland |
Profile Details
NPI number | 1770635187 |
---|---|
LBN Legal business name | Jantac, Katherine Delgado |
Credentials | GNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2007 |
Last updated | May 6th, 2015 - about 9 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 | 1770635187 | NPPES |
Other | 9680-0062 | CAREFIRST BCBS OF DC | |
Other | 263108258 | CAREFIRST BCBS OF DC | |
Other | 83-20152 | CAREFIRST BCBS OF DC | |
Other | P516-0001 | CAREFIRST BCBS OF DC | |
MEDICAID | 417307400 | CAREFIRST BCBS OF DC | |
Other | 83-15248 | CAREFIRST BCBS OF DC | |
Other | 948993-02 | CAREFIRST BCBS OF DC | |
Other | 948993-01 | CAREFIRST BCBS OF DC |
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