Bredeman, Thomas K
Bredeman, Thomas K is an individual health care provider with primary practice located at 3205 Pembroke Sq , Jefferson City MO 65109-5731. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bredeman, Thomas K can be contacted via phone (573) 690-5665.Contact Information
Primary practice address
3205 Pembroke Sq
Jefferson City MO 65109-5731
Phone: (573) 690-5665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36582 | Missouri |
Profile Details
| NPI number | 1477556520 |
|---|---|
| LBN Legal business name | Bredeman, Thomas K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477556520 | NPPES |
| Missouri | MEDICAID | 246894406 | |
| Missouri | Other | 32232 |
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