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Contact Information

KATHERINE ACTIVE
1075 E SANTA CLARA ST
SAN JOSE, CA95116-2244
 Phone: 408-792-3910
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KATHERINE ACTIVE · (Female)

NPI # 1659926343
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2019
Last updated 08/14/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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