Wirtz, Katelyn Madeline

Wirtz, Katelyn Madeline is an individual health care provider with primary practice located at 285 Main St , West Haven CT 06516-7307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wirtz, Katelyn Madeline can be contacted via phone (203) 503-3000.

Contact Information

Primary practice address
285 Main St West Haven CT 06516-7307
Phone: (203) 503-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9910 Connecticut

Profile Details

NPI number 1083282891
LBN Legal business name Wirtz, Katelyn Madeline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated Sep 16th, 2021 - about 3 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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