Wynn, Alan Howard
Wynn, Alan Howard is an individual health care provider with primary practice located at 14139 Potomac Mills Rd , Woodbridge VA 22192-4644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wynn, Alan Howard can be contacted via phone (703) 359-7878.Contact Information
Primary practice address
14139 Potomac Mills Rd
Woodbridge VA 22192-4644
Phone: (703) 359-7878
Fax: (703) 490-7650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101040884 | Virginia |
Profile Details
| NPI number | 1821153149 |
|---|---|
| LBN Legal business name | Wynn, Alan Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jun 1st, 2021 - about 3 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 | 1821153149 | NPPES |
| Virginia | MEDICAID | 006064043 |
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