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
Fax: (703) 280-4773
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790004844 NPPES
Alaska MEDICAID MDA0380
Alaska Other K163676

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