Brink, Jeromy

Brink, Jeromy is an individual health care provider with primary practice located at 6040 N 7Th St Ste 105 , Phoenix AZ 85014-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Brink, Jeromy can be contacted via phone (602) 277-7430.

Contact Information

Primary practice address
6040 N 7Th St Ste 105 Phoenix AZ 85014-1803
Phone: (602) 277-7430
Fax: (602) 279-5333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31491 Arizona

Profile Details

NPI number 1003876269
LBN Legal business name Brink, Jeromy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 21st, 2021 - about 3 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 1003876269 NPPES
Arizona MEDICAID 793910

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