Bredemann, Jeffrey A

Bredemann, Jeffrey A is an individual health care provider with primary practice located at 5830 Nw Barry Rd , Kansas City MO 64154-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bredemann, Jeffrey A can be contacted via phone (816) 880-6440.

Contact Information

Primary practice address
5830 Nw Barry Rd Kansas City MO 64154-2778
Fax: (816) 880-6021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R9N46 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X R9N46 Missouri

Profile Details

NPI number 1972579647
LBN Legal business name Bredemann, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 30th, 2014 - about 10 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 1972579647 NPPES
Missouri MEDICAID 202986378
Missouri MEDICAID 100125370C
Missouri Other 050080122

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