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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1063508463 NPPES
Arizona Other AZ0713230 BCBS
Arizona MEDICAID 414160 BCBS

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