Breckle, Barry Ellis

Breckle, Barry Ellis is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr 11G-Jb, Saint Louis MO 63125-4181. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Breckle, Barry Ellis can be contacted via phone (314) 845-5054.

Contact Information

Primary practice address
1 Jefferson Barracks Dr 11G-Jb Saint Louis MO 63125-4181
Phone: (314) 845-5054
Fax: (314) 845-5092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5862 Minnesota

Profile Details

NPI number 1801858121
LBN Legal business name Breckle, Barry Ellis
Credentials RN, MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Dec 17th, 2020 - about 4 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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