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Contact Information

KATHERINE M BAGNATO, ATC, OTC, CEAS
5825 CARNEGIE BLVD
CHARLOTTE, NC28209-4633
 Phone: 609-377-7310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for KATHERINE M BAGNATO · (Female)

NPI Number 1215965926
Status Active
Credentials ATC, OTC, CEAS
Entity Individual
Enumeration date 06/29/2006
Last updated 03/01/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # LAT-2924
  • NJ License # 25MT00056400
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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