Welch, Cathy Louise

Welch, Cathy Louise is an individual health care provider with primary practice located at 1203 E Ross Byp Suite A, Tahlequah OK 74464-4133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Welch, Cathy Louise can be contacted via phone (918) 453-1234.

Contact Information

Primary practice address
1203 E Ross Byp Suite A Tahlequah OK 74464-4133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA769 Oklahoma

Profile Details

NPI number 1700877321
LBN Legal business name Welch, Cathy Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated May 14th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700877321 NPPES
Oklahoma MEDICAID 100313470B
Oklahoma Other 400522239
Oklahoma MEDICAID 200000030A

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