Soderquist, Kathryn

Soderquist, Kathryn is an individual health care provider with primary practice located at 1330 W Auto Dr , Tempe AZ 85284-1017. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Soderquist, Kathryn can be contacted via phone (480) 553-7153.

Contact Information

Primary practice address
1330 W Auto Dr Tempe AZ 85284-1017
Phone: (480) 553-7153
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265179402
LBN Legal business name Soderquist, Kathryn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2022
Last updated May 18th, 2022 - about 2 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 1265179402 NPPES
Arizona MEDICAID 1841543345

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