Spoonamore, Katherine Grace

Spoonamore, Katherine Grace is an individual health care provider with primary practice located at 1800 N Capitol Ave , Indianapolis IN 46202-1218. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Spoonamore, Katherine Grace can be contacted via phone (317) 962-0511.

Contact Information

Primary practice address
1800 N Capitol Ave Indianapolis IN 46202-1218
Phone: (317) 962-0511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X 74000056A Indiana

Profile Details

NPI number 1588926083
LBN Legal business name Spoonamore, Katherine Grace
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Oct 22nd, 2014 - about 10 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 1588926083 NPPES
Indiana MEDICAID 999999999

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