Villa, Kathryn Jockovic

Villa, Kathryn Jockovic is an individual health care provider with primary practice located at 1625 N George Mason Dr Pathology Dept, Arlington VA 22205-3683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Villa, Kathryn Jockovic can be contacted via phone (703) 558-6566.

Contact Information

Primary practice address
1625 N George Mason Dr Pathology Dept Arlington VA 22205-3683
Phone: (703) 558-6566
Fax: (502) 456-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101251315 Virginia

Profile Details

NPI number 1851507263
LBN Legal business name Villa, Kathryn Jockovic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Aug 6th, 2013 - about 13 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 1851507263 NPPES
District of Columbia MEDICAID 057000700
District of Columbia Other 1022-0011
District of Columbia MEDICAID 0453382 01
District of Columbia Other P01185683
District of Columbia MEDICAID 1851507263

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