Brady, John William

Brady, John William is an sole proprietor health care provider with primary practice located at 8650 Sudley Road Suite 310, Manassas VA 20110-4416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brady, John William can be contacted via phone (703) 369-3376.

Contact Information

Primary practice address
8650 Sudley Road Suite 310 Manassas VA 20110-4416
Phone: (703) 369-3376
Fax: (703) 369-1118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101019666 Virginia

Profile Details

NPI number 1801888474
LBN Legal business name Brady, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Mar 7th, 2023 - about last year

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 1801888474 NPPES
Virginia Other 0101019666 MEDICAL LICENSE NUMBER
Virginia Other 00X776J01 MEDICAL LICENSE NUMBER

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