Wotka, Meredith H

Wotka, Meredith H is an individual health care provider with primary practice located at 1635 N George Mason Dr , Arlington VA 22205-3601. 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. Wotka, Meredith H can be contacted via phone (703) 524-1212.

Contact Information

Primary practice address
1635 N George Mason Dr Arlington VA 22205-3601
Phone: (703) 524-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1260 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110006784 Virginia

Profile Details

NPI number 1104044924
LBN Legal business name Wotka, Meredith H
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jan 15th, 2020 - about 6 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 1104044924 NPPES
Massachusetts Other PA6026 STATE PHYSICIAN ASSISTANT LICENSE
Massachusetts Other 1260 STATE PHYSICIAN ASSISTANT LICENSE
Massachusetts Other 6628 STATE PHYSICIAN ASSISTANT LICENSE
Massachusetts Other PA54114 STATE PHYSICIAN ASSISTANT LICENSE
Massachusetts Other 020484-1 STATE PHYSICIAN ASSISTANT LICENSE
Massachusetts Other 085.0006096 STATE PHYSICIAN ASSISTANT LICENSE
Massachusetts Other PA031320 STATE PHYSICIAN ASSISTANT LICENSE

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