Healthcare Provider Details

I. General information

NPI: 1700871522
Provider Name (Legal Business Name): CATHERINE SAULS OHMSTEDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE HARRIET SAULS MD

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 10/25/2020
Certification Date: 09/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 EAST BLVD SUITE 280
CHARLOTTE NC
28203-5793
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-1866
  • Fax: 704-384-1867
Mailing address:
  • Phone: 704-384-1866
  • Fax: 704-384-7867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200600017
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: