Mayol, Bryan R

Mayol, Bryan R is an individual health care provider with primary practice located at 13100 136Th Street Suite 2000, Fishers IN 46037-9440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mayol, Bryan R can be contacted via phone (317) 688-5980.

Contact Information

Primary practice address
13100 136Th Street Suite 2000 Fishers IN 46037-9440
Phone: (317) 688-5980
Fax: (317) 688-3222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01049047 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01069552A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01069552A Indiana

Profile Details

NPI number 1669484333
LBN Legal business name Mayol, Bryan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 18th, 2014 - about 11 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 1669484333 NPPES
Indiana MEDICAID 200265700

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