Kotalik, Catherine J

Kotalik, Catherine J is an individual health care provider with primary practice located at 540 S Governors Ave Suite 100, Dover DE 19904-3530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kotalik, Catherine J can be contacted via phone (302) 526-1470.

Contact Information

Primary practice address
540 S Governors Ave Suite 100 Dover DE 19904-3530
Phone: (302) 526-1470
Fax: (302) 674-1398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001883 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C5-0000763 Delaware

Profile Details

NPI number 1871770776
LBN Legal business name Kotalik, Catherine J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Oct 19th, 2012 - 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 1871770776 NPPES
Delaware Other 217033ZA5H MEDICARE PTAN

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