Korkowski, Martin Anthony
Korkowski, Martin Anthony is an individual health care provider with primary practice located at 44055 Riverside Parkway, Suite 216 , Leesburg VA 20176-5179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Korkowski, Martin Anthony can be contacted via phone (703) 858-1395.Contact Information
Primary practice address
44055 Riverside Parkway, Suite 216
Leesburg VA 20176-5179
Phone: (703) 858-1395
Fax: (703) 858-7468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101048127 | Virginia |
Profile Details
| NPI number | 1801880752 |
|---|---|
| LBN Legal business name | Korkowski, Martin Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 18th, 2024 - about last year |
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 | 1801880752 | NPPES |
| Virginia | MEDICAID | 30016354550001 | |
| Virginia | MEDICAID | 010132029 | |
| Virginia | MEDICAID | 1801880752 | |
| Virginia | Other | P00200904 |
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