Holder, Catherine Grace Engibous
Holder, Catherine Grace Engibous is an individual health care provider with primary practice located at 2710 Prosperity Ave Ste 200 , Fairfax VA 22031-4358. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Holder, Catherine Grace Engibous can be contacted via phone (703) 280-2841.Contact Information
Primary practice address
2710 Prosperity Ave Ste 200
Fairfax VA 22031-4358
Phone: (703) 280-2841
Fax: (703) 280-4773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60511351 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60511351 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60511351 |
Profile Details
NPI number | 1790004844 |
---|---|
LBN Legal business name | Holder, Catherine Grace Engibous |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2010 |
Last updated | Jul 30th, 2021 - about 3 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 | 1790004844 | NPPES |
Alaska | MEDICAID | MDA0380 | |
Alaska | Other | K163676 |
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