Provider Demographics
NPI:1376541953
Name:BOOK, CATHERINE M (PA-C)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:BOOK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:IA
Mailing Address - Zip Code:52057-1527
Mailing Address - Country:US
Mailing Address - Phone:563-927-2629
Mailing Address - Fax:563-927-5247
Practice Address - Street 1:122 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:IA
Practice Address - Zip Code:52237
Practice Address - Country:US
Practice Address - Phone:563-926-2922
Practice Address - Fax:563-926-2184
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000814363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
R81051Medicare UPIN