Vail, Sydney
Vail, Sydney is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Vail, Sydney can be contacted via phone (602) 344-5011.Contact Information
Primary practice address
2601 E Roosevelt St
Phoenix AZ 85008-4973
Phone: (602) 344-5011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 40934 | Arizona |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 40934 | Arizona |
Profile Details
| NPI number | 1043273105 |
|---|---|
| LBN Legal business name | Vail, Sydney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Mar 13th, 2017 - about 8 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 | 1043273105 | NPPES |
| Arizona | MEDICAID | 368509 | |
| Arizona | MEDICAID | 5886619 | |
| Arizona | MEDICAID | 7307161 | |
| Arizona | MEDICAID | 5886481 | |
| Arizona | MEDICAID | 5886597 | |
| Arizona | MEDICAID | 010039827 | |
| Arizona | MEDICAID | 010019788 |
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