Girschek, Brendan P

Girschek, Brendan P is an individual health care provider with primary practice located at 350 N Switzer Canyon Dr , Flagstaff AZ 86001-4826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Girschek, Brendan P can be contacted via phone (928) 779-0500.

Contact Information

Primary practice address
350 N Switzer Canyon Dr Flagstaff AZ 86001-4826
Phone: (928) 779-0500
Fax: (602) 508-4830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 67737 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD-39182 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 67737 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 39182 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44844 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME140484 Florida

Profile Details

NPI number 1194915710
LBN Legal business name Girschek, Brendan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Nov 16th, 2022 - 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 1194915710 NPPES
Tennessee Other 3041625 MEDICARE PTAN
Tennessee MEDICAID 1194915710 MEDICARE PTAN
Tennessee Other 719270026 MEDICARE PTAN
Tennessee MEDICAID 145884 MEDICARE PTAN

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