Berezovsky, Damian Esteban
Berezovsky, Damian Esteban is an individual health care provider with primary practice located at 240 W Thomas Rd # 400 , Phoenix AZ 85013-4407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Berezovsky, Damian Esteban can be contacted via phone (602) 406-6262.Contact Information
Primary practice address
240 W Thomas Rd # 400
Phoenix AZ 85013-4407
Phone: (602) 406-6262
Fax: (602) 406-6261
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 53907 | Arizona |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 75927 | Georgia |
Profile Details
NPI number | 1144653437 |
---|---|
LBN Legal business name | Berezovsky, Damian Esteban |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2013 |
Last updated | Oct 12th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144653437 | NPPES |
Georgia | Other | 75927 | GA MEDICAL LICENSE |
Georgia | Other | RS2013-0696 | GA MEDICAL LICENSE |
Georgia | MEDICAID | 284746 | GA MEDICAL LICENSE |
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