Wasserman, Brian M
Wasserman, Brian M is an individual health care provider with primary practice located at 1475 Johnston Willis Dr , North Chesterfield VA 23235-4730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wasserman, Brian M can be contacted via phone (804) 272-7564.Contact Information
Primary practice address
1475 Johnston Willis Dr
North Chesterfield VA 23235-4730
Phone: (804) 272-7564
Fax: (804) 272-9325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101026634 | Virginia |
Profile Details
| NPI number | 1730188905 |
|---|---|
| LBN Legal business name | Wasserman, Brian M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jun 6th, 2014 - about 10 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 | 1730188905 | NPPES |
| Virginia | MEDICAID | 6021557 |
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