Avery, Brendan

Avery, Brendan is an individual health care provider with primary practice located at 1701 N George Mason Dr , Arlington VA 22205-3610. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Avery, Brendan can be contacted via phone (703) 558-5000.

Contact Information

Primary practice address
1701 N George Mason Dr Arlington VA 22205-3610
Phone: (703) 558-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110009148 Virginia

Profile Details

NPI number 1639875040
LBN Legal business name Avery, Brendan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2023
Last updated Feb 7th, 2023 - 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 1639875040 NPPES
Virginia Other 0110009148 LICENSE NUMBER

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