King, Brian N

King, Brian N is an individual health care provider with primary practice located at 501 Kings Hwy E Suite 112, Fairfield CT 06825-4867. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. King, Brian N can be contacted via phone (203) 382-1900.

Contact Information

Primary practice address
501 Kings Hwy E Suite 112 Fairfield CT 06825-4867
Phone: (203) 382-1900
Fax: (203) 382-0019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0101233575 Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 047749 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 243360 New York

Profile Details

NPI number 1841493913
LBN Legal business name King, Brian N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Nov 17th, 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 1841493913 NPPES
Connecticut MEDICAID 008003815

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