Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DS-037512 | PA |
N | 213EG0000X | General Practice | DS-037512 | PA |
Y | 1223P0221X | Pediatric Dentist | DS037512 | PA |
NPI | 1033373485 |
---|---|
Provider Name | Katherine Rosalie Schloesser |
First Address | Honesdale, PA 18431-2305 |
Second Address | Lake Ariel, PA 18436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 01/07/2019 |