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
Fax: (602) 406-6261
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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