Loftis, Katrina D

Loftis, Katrina D is an individual health care provider with primary practice located at 431 Mackay Dr , San Bernardino CA 92408-3222. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Loftis, Katrina D can be contacted via phone (909) 433-9300.

Contact Information

Primary practice address
431 Mackay Dr San Bernardino CA 92408-3222
Phone: (909) 433-9300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN 170258 California

Profile Details

NPI number 1962674044
LBN Legal business name Loftis, Katrina D
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Dec 11th, 2017 - about 7 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 1962674044 NPPES
California MEDICAID 1760651178

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