Cochran, Brian Gary

Cochran, Brian Gary is an individual health care provider with primary practice located at 2 Cardinal Park Dr Se Suite 204-A, Leesburg VA 20175-4448. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cochran, Brian Gary can be contacted via phone (703) 779-2296.

Contact Information

Primary practice address
2 Cardinal Park Dr Se Suite 204-A Leesburg VA 20175-4448
Phone: (703) 779-2296
Fax: (703) 779-0602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410586 Virginia

Profile Details

NPI number 1063626422
LBN Legal business name Cochran, Brian Gary
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1063626422 NPPES
Virginia Other 138753 BLUE CROSS BLUE SHIELD
Virginia Other 1463842 BLUE CROSS BLUE SHIELD

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