Organization
JEFF KATRA MEDICAL SERVICES. PLLC
Active
Other names
SYNAPSE INTEGRATIVE MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JASON KATRA DO (SOLE MEMBER OWNER)
(570) 690-4186
Entity
Organization
Contact information
Practice address
631 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 400-9668
(434) 465-6018
Mailing address
PO BOX 8041, CHARLOTTESVILLE, VA 22906-8041
(804) 282-9133
(804) 282-9135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558882860
TYPE I NPI
—
Enumeration date
11/22/2022
Last updated
11/22/2022
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