Berens, Eric Scott

Berens, Eric Scott is an individual health care provider with primary practice located at 6377 E Tanque Verde Rd Ste 101 , Tucson AZ 85715-3839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Berens, Eric Scott can be contacted via phone (520) 296-5500.

Contact Information

Primary practice address
6377 E Tanque Verde Rd Ste 101 Tucson AZ 85715-3839
Phone: (520) 296-5500
Fax: (520) 296-5800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 20512 Arizona

Profile Details

NPI number 1679578702
LBN Legal business name Berens, Eric Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 26th, 2021 - about 3 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 1679578702 NPPES
Arizona Other 770000038 MEDICARE RAILROAD
Arizona MEDICAID 100751 MEDICARE RAILROAD

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