Kottage, Jayarathne

Kottage, Jayarathne is an individual health care provider with primary practice located at 300 Park Hill Dr , Fredericksburg VA 22401-3387. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Kottage, Jayarathne can be contacted via phone (540) 368-7405.

Contact Information

Primary practice address
300 Park Hill Dr Fredericksburg VA 22401-3387
Phone: (540) 368-7405
Fax: (540) 368-7599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2004021469 Missouri
Other Service Providers / Specialist 174400000X 0101254569 Virginia

Profile Details

NPI number 1043236284
LBN Legal business name Kottage, Jayarathne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043236284 NPPES
Missouri MEDICAID 209339001

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