Brecker, Lawrence J
Brecker, Lawrence J is an sole proprietor health care provider with primary practice located at 1110 E Missouri Ave 600, Phoenix AZ 85014-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brecker, Lawrence J can be contacted via phone (602) 277-4455.Contact Information
Primary practice address
1110 E Missouri Ave 600
Phoenix AZ 85014-2707
Phone: (602) 277-4455
Fax: (602) 277-9654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 7945 | Arizona |
Profile Details
| NPI number | 1407847163 |
|---|---|
| LBN Legal business name | Brecker, Lawrence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jun 12th, 2012 - about 12 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 | 1407847163 | NPPES |
| Arizona | Other | 071627735 | PALMETTO GBA RAILROAD MED |
| Arizona | Other | 245979 | PALMETTO GBA RAILROAD MED |
| Arizona | Other | AZ0053690 | PALMETTO GBA RAILROAD MED |
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