Mckenzie, Bryan Anthony

Mckenzie, Bryan Anthony is an individual health care provider with primary practice located at 8316 Arlington Blvd Suite 300, Fairfax VA 22031-5207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Mckenzie, Bryan Anthony can be contacted via phone (703) 573-7600.

Contact Information

Primary practice address
8316 Arlington Blvd Suite 300 Fairfax VA 22031-5207
Phone: (703) 573-7600
Fax: (703) 560-3808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 0101055139 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101055139 Virginia

Profile Details

NPI number 1699730515
LBN Legal business name Mckenzie, Bryan Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 21st, 2018 - about 8 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 1699730515 NPPES
Other 0010 CAREFIRST ID#
Other 0101055139 CAREFIRST ID#
MEDICAID 006501362 CAREFIRST ID#

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