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
Phone: (202) 884-4177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861574212 | NPPES |
| Virginia | MEDICAID | 5875196 | |
| Virginia | MEDICAID | 434050700 | |
| Virginia | MEDICAID | 034078600 |
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