Mcnicholas, Brian Scott

Mcnicholas, Brian Scott is an sole proprietor health care provider with primary practice located at 1712 Clubhouse Rd #102, Reston VA 20190-4595. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Mcnicholas, Brian Scott can be contacted via phone (703) 435-8805.

Contact Information

Primary practice address
1712 Clubhouse Rd #102 Reston VA 20190-4595
Phone: (703) 435-8805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 0104001891 Virginia

Profile Details

NPI number 1437233483
LBN Legal business name Mcnicholas, Brian Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
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 1437233483 NPPES
Virginia Other F743-0001 CAREFIRST BCBS
Virginia Other 333984 CAREFIRST BCBS
Virginia Other 5209702 CAREFIRST BCBS
Virginia Other 3441318-001 CAREFIRST BCBS

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