Delisio, Brian J
Delisio, Brian J is an individual health care provider with primary practice located at 4838 E Baseline Rd Ste 108 , Mesa AZ 85206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Delisio, Brian J can be contacted via phone (480) 981-2400.Contact Information
Primary practice address
4838 E Baseline Rd Ste 108
Mesa AZ 85206
Phone: (480) 981-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 33634 | Arizona |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 33634 | Arizona |
Profile Details
| NPI number | 1437186335 |
|---|---|
| LBN Legal business name | Delisio, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | May 23rd, 2018 - about 7 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 | 1437186335 | NPPES |
| Arizona | MEDICAID | 945131 | |
| Arizona | Other | P00402237 |
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