Carroll, Maura Katharine

Carroll, Maura Katharine is an individual health care provider with primary practice located at 20955 Professional Plz Ste 200, Ashburn VA 20147-3405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carroll, Maura Katharine can be contacted via phone (703) 729-7652.

Contact Information

Primary practice address
20955 Professional Plz Ste 200 Ashburn VA 20147-3405
Phone: (703) 729-7652
Fax: (703) 729-8746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101232158 Virginia

Profile Details

NPI number 1174516504
LBN Legal business name Carroll, Maura Katharine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 27th, 2010 - about 14 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 1174516504 NPPES
Virginia MEDICAID 6737561

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