Eross, Eric J
Eross, Eric J is an individual health care provider with primary practice located at 4530 E Muirwood Dr Ste 111 , Phoenix AZ 85048-7693. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Eross, Eric J can be contacted via phone (480) 961-2365.Contact Information
Primary practice address
4530 E Muirwood Dr Ste 111
Phoenix AZ 85048-7693
Phone: (480) 961-2365
Fax: (480) 961-2382
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 3626 | Arizona |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 3626 | Arizona |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 3626 | Arizona |
Profile Details
NPI number | 1063574572 |
---|---|
LBN Legal business name | Eross, Eric J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 14th, 2006 |
Last updated | Mar 7th, 2023 - about 2 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 | 1063574572 | NPPES |
Arizona | Other | 3626 | LICENSE NUMBER |
Arizona | MEDICAID | 568462 | LICENSE NUMBER |
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