Cassidy, Brendan P

Cassidy, Brendan P is an sole proprietor health care provider with primary practice located at 1331 N 7Th St Suite 100, Phoenix AZ 85006-2754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cassidy, Brendan P can be contacted via phone (602) 222-2234.

Contact Information

Primary practice address
1331 N 7Th St Suite 100 Phoenix AZ 85006-2754
Fax: (602) 222-3025
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 22365 Arizona

Profile Details

NPI number 1992779425
LBN Legal business name Cassidy, Brendan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Oct 7th, 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 1992779425 NPPES
Arizona MEDICAID 167074

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