Abbott, Katherine

Abbott, Katherine is an individual health care provider with primary practice located at 10623 Crestwood Dr , Manassas VA 20109-3433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Abbott, Katherine can be contacted via phone (703) 361-7131.

Contact Information

Primary practice address
10623 Crestwood Dr Manassas VA 20109-3433
Fax: (703) 330-2065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 0101045344 Virginia

Profile Details

NPI number 1457322356
LBN Legal business name Abbott, Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457322356 NPPES
Virginia MEDICAID 6714480

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