Treadup, Kathleen L
Treadup, Kathleen L is an individual health care provider with primary practice located at 480 Hawthorn St , North Dartmouth MA 02747-3713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Treadup, Kathleen L can be contacted via phone (508) 996-3991.Contact Information
Primary practice address
480 Hawthorn St
North Dartmouth MA 02747-3713
Phone: (508) 996-3991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 131703 | Massachusetts |
Profile Details
| NPI number | 1578530655 |
|---|---|
| LBN Legal business name | Treadup, Kathleen L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1578530655 | NPPES |
| Massachusetts | MEDICAID | 0339857 |
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