Brink, Jeffrey Alan
Brink, Jeffrey Alan is an individual health care provider with primary practice located at 2218 N 3Rd St , Phoenix AZ 85004-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Brink, Jeffrey Alan can be contacted via phone (602) 252-2543.Contact Information
Primary practice address
2218 N 3Rd St
Phoenix AZ 85004-1401
Phone: (602) 252-2543
Fax: (602) 252-3861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 32941 | Arizona |
Profile Details
| NPI number | 1417952516 |
|---|---|
| LBN Legal business name | Brink, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Sep 23rd, 2013 - 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 | 1417952516 | NPPES |
| Arizona | MEDICAID | 787054 |
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