Mayernick, Brian A

Mayernick, Brian A is an individual health care provider with primary practice located at 6200 N La Cholla Blvd , Tucson AZ 85741-3529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mayernick, Brian A can be contacted via phone (520) 469-8011.

Contact Information

Primary practice address
6200 N La Cholla Blvd Tucson AZ 85741-3529
Phone: (520) 469-8011
Fax: (520) 469-8021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29936 Arizona

Profile Details

NPI number 1114916384
LBN Legal business name Mayernick, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Oct 10th, 2008 - about 18 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 1114916384 NPPES
Arizona MEDICAID 724288

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