Noll, Kathleen

Noll, Kathleen is an sole proprietor health care provider with primary practice located at 169 Riverside Dr , Binghamton NY 13905-4198. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Noll, Kathleen can be contacted via phone (607) 722-7264.

Contact Information

Primary practice address
169 Riverside Dr Binghamton NY 13905-4198
Fax: (607) 722-7869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD030519E Pennsylvania

Profile Details

NPI number 1841236148
LBN Legal business name Noll, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Aug 9th, 2019 - about 6 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 1841236148 NPPES
Pennsylvania MEDICAID 001057410
Pennsylvania Other 0021521000
Pennsylvania Other 425863

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