Izenberg, Jeffrey S
Izenberg, Jeffrey S is an individual health care provider with primary practice located at 2204 S Dobson Rd Ste 202 , Mesa AZ 85202-6457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Izenberg, Jeffrey S can be contacted via phone (480) 633-6868.Contact Information
Primary practice address
2204 S Dobson Rd Ste 202
Mesa AZ 85202-6457
Phone: (480) 633-6868
Fax: (480) 633-6996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2942 | Arizona |
Profile Details
| NPI number | 1285670984 |
|---|---|
| LBN Legal business name | Izenberg, Jeffrey S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 26th, 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 | 1285670984 | NPPES |
| Arizona | MEDICAID | 391251 |
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