Ketterman, Nicole Susan

Ketterman, Nicole Susan is an individual health care provider with primary practice located at 301 Industrial Rd , San Carlos CA 94070-2603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ketterman, Nicole Susan can be contacted via phone (650) 596-4000.

Contact Information

Primary practice address
301 Industrial Rd San Carlos CA 94070-2603
Phone: (650) 596-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A105499 California

Profile Details

NPI number 1194977249
LBN Legal business name Ketterman, Nicole Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated May 28th, 2020 - about 4 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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