Ossowski, Eric M
Ossowski, Eric M is an individual health care provider with primary practice located at 4212 N 16Th Street Phoenix Indian Medical Center, Phoenix AZ 85016-5319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ossowski, Eric M can be contacted via phone (602) 263-1511.Contact Information
Primary practice address
4212 N 16Th Street Phoenix Indian Medical Center
Phoenix AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AZ #12127 | Arizona |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MN#24356 | Minnesota |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | AZ #12127 | Arizona |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MN#24356 | Minnesota |
Profile Details
NPI number | 1063508463 |
---|---|
LBN Legal business name | Ossowski, Eric M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 26th, 2011 - about 13 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 | 1063508463 | NPPES |
Arizona | Other | AZ0713230 | BCBS |
Arizona | MEDICAID | 414160 | BCBS |
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