Vanderweyst, Kathereine Marie

Vanderweyst, Kathereine Marie is an sole proprietor health care provider with primary practice located at 17515 Wolf Creek Rd Nw , Evansville MN 56326-8269. She recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is her primary health care specialty. Vanderweyst, Kathereine Marie can be contacted via phone (320) 815-9065.

Contact Information

Primary practice address
17515 Wolf Creek Rd Nw Evansville MN 56326-8269
Phone: (320) 815-9065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 1087053-1-HCBS Minnesota
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2835 Minnesota

Profile Details

NPI number 1982133880
LBN Legal business name Vanderweyst, Kathereine Marie
Credentials OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2017
Last updated Jul 21st, 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 1982133880 NPPES
Minnesota MEDICAID 10870553-1-HCBS

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