Black, Katherine

Black, Katherine is an individual health care provider with primary practice located at 8100 Ashton Ave Ste 200 , Manassas VA 20109-5688. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Black, Katherine can be contacted via phone (877) 415-4116.

Contact Information

Primary practice address
8100 Ashton Ave Ste 200 Manassas VA 20109-5688
Phone: (877) 415-4116
Fax: (571) 358-3941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104406743
LBN Legal business name Black, Katherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2021
Last updated Apr 8th, 2021 - about 4 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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