Mcdougal, Katherine

Mcdougal, Katherine is an sole proprietor health care provider with primary practice located at 107 Sunnybrook Rd , Raleigh NC 27610-1827. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mcdougal, Katherine can be contacted via phone (984) 974-4832.

Contact Information

Primary practice address
107 Sunnybrook Rd Raleigh NC 27610-1827
Phone: (984) 974-4832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 0010-05730 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-05730 North Carolina

Profile Details

NPI number 1154708402
LBN Legal business name Mcdougal, Katherine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2015
Last updated Aug 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154708402 NPPES
North Carolina MEDICAID 1154708402

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