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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 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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