Neiderer, Katherine Marie

Neiderer, Katherine Marie is an sole proprietor health care provider with primary practice located at 10936 Westward Pl , Glen Allen VA 23059-5787. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Neiderer, Katherine Marie can be contacted via phone (520) 548-5573.

Contact Information

Primary practice address
10936 Westward Pl Glen Allen VA 23059-5787
Phone: (520) 548-5573
Fax: (520) 629-4962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 606 Arizona
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103301097 Virginia

Profile Details

NPI number 1578674800
LBN Legal business name Neiderer, Katherine Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 24th, 2013 - 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 1578674800 NPPES
Arizona MEDICAID 405765

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