Katchen, Debra
Katchen, Debra is an individual health care provider with primary practice located at 2 Americinn Way Suite B, Monmouth IL 61462-9415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Katchen, Debra can be contacted via phone (309) 734-0100.Contact Information
Primary practice address
2 Americinn Way Suite B
Monmouth IL 61462-9415
Phone: (309) 734-0100
Fax: (309) 734-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036078203 | Illinois |
Profile Details
| NPI number | 1427057942 |
|---|---|
| LBN Legal business name | Katchen, Debra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jan 23rd, 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 | 1427057942 | NPPES |
| Illinois | MEDICAID | 036078203 |
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