Cusicanqui Monrroy, Miriam Jacqueline Nicolasa
Cusicanqui Monrroy, Miriam Jacqueline Nicolasa is an sole proprietor health care provider with primary practice located at 1715 N George Mason Dr Suite 501, Arlington VA 22205-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cusicanqui Monrroy, Miriam Jacqueline Nicolasa can be contacted via phone (703) 527-4466.Contact Information
Primary practice address
1715 N George Mason Dr Suite 501
Arlington VA 22205-3609
Phone: (703) 527-4466
Fax: (703) 552-1326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101241806 | Virginia |
Profile Details
NPI number | 1497945174 |
---|---|
LBN Legal business name | Cusicanqui Monrroy, Miriam Jacqueline Nicolasa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2007 |
Last updated | Aug 10th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497945174 | NPPES |
Virginia | Other | 132601 | MEDICARE PTAN |
Virginia | MEDICAID | 7100033620 | MEDICARE PTAN |
Virginia | MEDICAID | 1497945174 | MEDICARE PTAN |
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