Swanson, Kathryn Edith

Swanson, Kathryn Edith is an sole proprietor health care provider with primary practice located at 222 Main Street , Southbridge MA 01550-2593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Swanson, Kathryn Edith can be contacted via phone (508) 765-7711.

Contact Information

Primary practice address
222 Main Street Southbridge MA 01550-2593
Fax: (508) 765-7713
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 178544 Massachusetts

Profile Details

NPI number 1437216546
LBN Legal business name Swanson, Kathryn Edith
Credentials MSN DCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jan 3rd, 2019 - about 5 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 1437216546 NPPES
Massachusetts MEDICAID 110082580A

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