Canter, Maria Pettit
Canter, Maria Pettit is an individual health care provider with primary practice located at 1860 Town Center Drive, Suite 225 , Reston VA 20190-5905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Canter, Maria Pettit can be contacted via phone (703) 293-5239.Contact Information
Primary practice address
1860 Town Center Drive, Suite 225
Reston VA 20190-5905
Phone: (703) 293-5239
Fax: (571) 526-4393
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 0101239731 | Virginia |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101239731 | Virginia |
Profile Details
NPI number | 1497749907 |
---|---|
LBN Legal business name | Canter, Maria Pettit |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2005 |
Last updated | Feb 20th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497749907 | NPPES |
Virginia | MEDICAID | 1497749907 | |
Virginia | MEDICAID | 30015964400001 |
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