Brecke, Stefan Friedrich

Brecke, Stefan Friedrich is an individual health care provider with primary practice located at 2000 Meade Pkwy , Suffolk VA 23434-4259. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brecke, Stefan Friedrich can be contacted via phone (757) 539-0251.

Contact Information

Primary practice address
2000 Meade Pkwy Suffolk VA 23434-4259
Phone: (757) 539-0251
Fax: (757) 934-9409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840823 Virginia

Profile Details

NPI number 1457318040
LBN Legal business name Brecke, Stefan Friedrich
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 6th, 2013 - about 11 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 1457318040 NPPES
Virginia Other 970009887 RAILROAD MEDICARE
Virginia MEDICAID 8922951 RAILROAD MEDICARE

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