Malatestinic, Kathryn Marie
Malatestinic, Kathryn Marie is an individual health care provider with primary practice located at 1500 Lexington Blvd , Bethel CT 06801-1338. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Malatestinic, Kathryn Marie can be contacted via phone (203) 240-7122.Contact Information
Primary practice address
1500 Lexington Blvd
Bethel CT 06801-1338
Phone: (203) 240-7122
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 2000030923 | North Carolina |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
NPI number | 1881184109 |
---|---|
LBN Legal business name | Malatestinic, Kathryn Marie |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2018 |
Last updated | Aug 7th, 2020 - about 5 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 | 1881184109 | NPPES |
Other | 22 | RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS |
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