Brandel, Richard Glenn

Brandel, Richard Glenn is an individual health care provider with primary practice located at 950 Francis Pl Suite 2, Saint Louis MO 63105-2465. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brandel, Richard Glenn can be contacted via phone (314) 726-2377.

Contact Information

Primary practice address
950 Francis Pl Suite 2 Saint Louis MO 63105-2465
Phone: (314) 726-2377
Fax: (314) 726-2397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000482 Missouri

Profile Details

NPI number 1154323657
LBN Legal business name Brandel, Richard Glenn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1154323657 NPPES
Missouri MEDICAID 301731907

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