Patterson, Wanda M
Patterson, Wanda M is an individual health care provider with primary practice located at 11445 Sunset Hills Rd Kaiser Permanente Reston Medical Center, Reston VA 20190-5276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Patterson, Wanda M can be contacted via phone (703) 709-1550.Contact Information
Primary practice address
11445 Sunset Hills Rd Kaiser Permanente Reston Medical Center
Reston VA 20190-5276
Phone: (703) 709-1550
Fax: (703) 709-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D70346 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD038619 | District of Columbia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101246626 | Virginia |
Profile Details
| NPI number | 1255301412 |
|---|---|
| LBN Legal business name | Patterson, Wanda M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jun 26th, 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 | 1255301412 | NPPES |
| New Jersey | Other | 7565692 | AETNA |
| New Jersey | Other | 6234651 | AETNA |
| New Jersey | Other | 2351569000 | AETNA |
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