Brink, Jeffrey Alan

Brink, Jeffrey Alan is an individual health care provider with primary practice located at 2218 N 3Rd St , Phoenix AZ 85004-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Brink, Jeffrey Alan can be contacted via phone (602) 252-2543.

Contact Information

Primary practice address
2218 N 3Rd St Phoenix AZ 85004-1401
Phone: (602) 252-2543
Fax: (602) 252-3861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 32941 Arizona

Profile Details

NPI number 1417952516
LBN Legal business name Brink, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952516 NPPES
Arizona MEDICAID 787054

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