Willenborg, Catherine

Willenborg, Catherine is an individual health care provider with primary practice located at 2898 Broadway St , San Francisco CA 94115-1061. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Willenborg, Catherine can be contacted via phone (775) 771-1824.

Contact Information

Primary practice address
2898 Broadway St San Francisco CA 94115-1061
Phone: (775) 771-1824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA972 Nevada

Profile Details

NPI number 1154389153
LBN Legal business name Willenborg, Catherine
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 21st, 2012 - about 12 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 1154389153 NPPES
Nevada MEDICAID 100508855

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