Brodie, Robin Elizabeth

Brodie, Robin Elizabeth is an individual health care provider with primary practice located at 8650 Sudley Rd Suite 306, Manassas VA 20110-4419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brodie, Robin Elizabeth can be contacted via phone (703) 393-9494.

Contact Information

Primary practice address
8650 Sudley Rd Suite 306 Manassas VA 20110-4419
Fax: (703) 393-8591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101047636 Virginia

Profile Details

NPI number 1073676771
LBN Legal business name Brodie, Robin Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 9th, 2007 - about 17 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 1073676771 NPPES
Virginia MEDICAID 006728189
Virginia Other 259950
Virginia Other 50320002
Virginia Other 334843
Virginia Other 480340
Virginia Other 8154105
Virginia Other 2154105

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