Bryan, Candace Victoria

Bryan, Candace Victoria is an individual health care provider with primary practice located at 3020 Hamaker Ct Suite #400, Fairfax VA 22031-2238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Bryan, Candace Victoria can be contacted via phone (703) 876-0800.

Contact Information

Primary practice address
3020 Hamaker Ct Suite #400 Fairfax VA 22031-2238
Phone: (703) 876-0800
Fax: (703) 876-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 0101242056 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 010124056 Virginia

Profile Details

NPI number 1376750133
LBN Legal business name Bryan, Candace Victoria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jun 8th, 2022 - 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 1376750133 NPPES
Virginia MEDICAID 1376750133

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