Mceachern, Bryan Wallace
Mceachern, Bryan Wallace is an individual health care provider with primary practice located at 9001 Digges Rd Suite 106, Manassas VA 20110-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mceachern, Bryan Wallace can be contacted via phone (703) 392-5437.Contact Information
Primary practice address
9001 Digges Rd Suite 106
Manassas VA 20110-4421
Phone: (703) 392-5437
Fax: (703) 392-0176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101051497 | Virginia |
Profile Details
| NPI number | 1275501736 |
|---|---|
| LBN Legal business name | Mceachern, Bryan Wallace |
| Credentials | M.D., F.A.A.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jan 18th, 2011 - about 13 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 | 1275501736 | NPPES |
| Virginia | MEDICAID | 006724264 |
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