Mccauley, Brian Wayne

Mccauley, Brian Wayne is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-5149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccauley, Brian Wayne can be contacted via phone (804) 765-5000.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-5149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002810 Virginia

Profile Details

NPI number 1073777306
LBN Legal business name Mccauley, Brian Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Apr 8th, 2009 - about 15 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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