Brian Mcnicholas, D.C

NPI 1437233483 · on the registry since 2006 · sole proprietor

Practice

Address: 1712 Clubhouse Rd
#102
Reston, VA 20190
Phone: (703) 435-8805
Organisation at this address: Zacko & Shatluch Ltd
Rene Llaneras & Guillermo Tremols Ptr
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111NS0005X
111NS0005X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia