Bryan, Douglas F

Bryan, Douglas F is an individual health care provider with primary practice located at 1218 S Broadway Suite 310, Lexington KY 40504-2759. 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. Bryan, Douglas F can be contacted via phone (859) 219-0542.

Contact Information

Primary practice address
1218 S Broadway Suite 310 Lexington KY 40504-2759
Phone: (859) 219-0542
Fax: (859) 219-9433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA775 Kentucky

Profile Details

NPI number 1558548263
LBN Legal business name Bryan, Douglas F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Feb 3rd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558548263 NPPES
Kentucky MEDICAID 7100041500

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