Holland, Bryan R

Holland, Bryan R is an individual health care provider with primary practice located at 43 Enterprise Dr , Bristol CT 06010-7457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holland, Bryan R can be contacted via phone (860) 589-5230.

Contact Information

Primary practice address
43 Enterprise Dr Bristol CT 06010-7457
Fax: (860) 589-5297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 041661 Connecticut

Profile Details

NPI number 1346239126
LBN Legal business name Holland, Bryan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jan 19th, 2015 - about 9 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 1346239126 NPPES
Connecticut MEDICAID 001416610

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