Fine, Bryan R

Fine, Bryan R is an sole proprietor health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2978. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fine, Bryan R can be contacted via phone (202) 884-4177.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2978
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD33171 District of Columbia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD33171 District of Columbia

Profile Details

NPI number 1861574212
LBN Legal business name Fine, Bryan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Oct 29th, 2008 - about 16 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 1861574212 NPPES
Virginia MEDICAID 5875196
Virginia MEDICAID 434050700
Virginia MEDICAID 034078600

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