Breisblatt, Warren Mark
Breisblatt, Warren Mark is an individual health care provider with primary practice located at 9250 N. 3Rd Street Suite 3010, Phoenix AZ 85020-2425. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Breisblatt, Warren Mark can be contacted via phone (602) 861-1168.Contact Information
Primary practice address
9250 N. 3Rd Street Suite 3010
Phoenix AZ 85020-2425
Phone: (602) 861-1168
Fax: (602) 861-1763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 24667 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 24667 | Arizona |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 24667 | Arizona |
Profile Details
| NPI number | 1063413177 |
|---|---|
| LBN Legal business name | Breisblatt, Warren Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Sep 25th, 2013 - about 11 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 | 1063413177 | NPPES |
| Arizona | MEDICAID | 370247 |
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