Brysacz, Stanley P
Brysacz, Stanley P is an individual health care provider with primary practice located at 6565 E Greenway Pkwy Ste 100, Scottsdale AZ 85254-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brysacz, Stanley P can be contacted via phone (480) 348-3200.Contact Information
Primary practice address
6565 E Greenway Pkwy Ste 100
Scottsdale AZ 85254-2056
Phone: (480) 348-3200
Fax: (480) 348-3210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1207 | Arizona |
Profile Details
| NPI number | 1609873918 |
|---|---|
| LBN Legal business name | Brysacz, Stanley P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1609873918 | NPPES |
| Arizona | MEDICAID | 260985 |
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