Marmorine, Kathleen
Marmorine, Kathleen is an individual health care provider with primary practice located at Highway 1 Box 497, Red Lake MN 56671-0497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marmorine, Kathleen can be contacted via phone (218) 679-3912.Contact Information
Primary practice address
Highway 1 Box 497
Red Lake MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R 138537-1 | Minnesota |
Profile Details
| NPI number | 1356370993 |
|---|---|
| LBN Legal business name | Marmorine, Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 8th, 2007 - about 17 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 | 1356370993 | NPPES |
| Minnesota | Other | 387K5MA | BC/BS OF MN |
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