Shoe, Katelyn Marie
Shoe, Katelyn Marie is an sole proprietor health care provider with primary practice located at 311 N 4Th St Ste 1 , Oakland MD 21550-1371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shoe, Katelyn Marie can be contacted via phone (301) 334-7855.Contact Information
Primary practice address
311 N 4Th St Ste 1
Oakland MD 21550-1371
Phone: (301) 334-7855
Fax: (301) 334-7828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27751 | Maryland |
Profile Details
| NPI number | 1730593187 |
|---|---|
| LBN Legal business name | Shoe, Katelyn Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2014 |
| Last updated | Apr 11th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730593187 | NPPES |
| Maryland | Other | K079-0010 | BCBS |
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