Mckenzie, Bryan Anthony
Mckenzie, Bryan Anthony is an individual health care provider with primary practice located at 8316 Arlington Blvd Suite 300, Fairfax VA 22031-5207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Mckenzie, Bryan Anthony can be contacted via phone (703) 573-7600.Contact Information
Primary practice address
8316 Arlington Blvd Suite 300
Fairfax VA 22031-5207
Phone: (703) 573-7600
Fax: (703) 560-3808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 0101055139 | Virginia |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 0101055139 | Virginia |
Profile Details
NPI number | 1699730515 |
---|---|
LBN Legal business name | Mckenzie, Bryan Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | Dec 21st, 2018 - about 7 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 | 1699730515 | NPPES |
Other | 0010 | CAREFIRST ID# | |
Other | 0101055139 | CAREFIRST ID# | |
MEDICAID | 006501362 | CAREFIRST ID# |
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