Wynn, Alan Howard

Wynn, Alan Howard is an individual health care provider with primary practice located at 14139 Potomac Mills Rd , Woodbridge VA 22192-4644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wynn, Alan Howard can be contacted via phone (703) 359-7878.

Contact Information

Primary practice address
14139 Potomac Mills Rd Woodbridge VA 22192-4644
Phone: (703) 359-7878
Fax: (703) 490-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101040884 Virginia

Profile Details

NPI number 1821153149
LBN Legal business name Wynn, Alan Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 1st, 2021 - about 5 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 1821153149 NPPES
Virginia MEDICAID 006064043

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