Manzanares, Katherine Jane

Manzanares, Katherine Jane is an individual health care provider with primary practice located at 1800 North Beauregard Street, Suite 250 , Alexandria VA 22311-5879. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Manzanares, Katherine Jane can be contacted via phone (703) 370-2400.

Contact Information

Primary practice address
1800 North Beauregard Street, Suite 250 Alexandria VA 22311-5879
Phone: (703) 370-2400
Fax: (703) 370-7214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA030510 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003633 Virginia

Profile Details

NPI number 1316040660
LBN Legal business name Manzanares, Katherine Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jan 31st, 2024 - about 2 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 1316040660 NPPES
Virginia MEDICAID 1316040660
Virginia MEDICAID 30017449730003

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