NPI 1306018593 DR. WILLIAM BRYAN ICENHOWER MPH LEONARDTOWN MD. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. William Bryan Icenhower - NPI: 1306018593

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. WILLIAM BRYAN ICENHOWER
NPI Number: 1306018593
Entity Type Code: Individual (1)
Gender: M
Credentials: MPH
License Number: D0050093
Business Practice Address: 21580 Peabody St
Leonardtown, MD - 206502962
Business Phone Number: 3014754317
Business Fax Number: 3014754350
Mailing Address: 21580 Peabody St, P.o. Box 316
LEONARDTOWN
State: MD
Postal Code: 206500316
Phone Number: 3014754317
Fax Number: 3014754350
NPI Enumeration Date: 03/27/2008
NPI Last Update Date: 03/27/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: D0050093
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MD
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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