Breitzig, Glenn Scott

Breitzig, Glenn Scott is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4294. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Breitzig, Glenn Scott can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4294
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0008078 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019008101 Missouri

Profile Details

NPI number 1154305837
LBN Legal business name Breitzig, Glenn Scott
Credentials D.C., FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 24th, 2019 - about 5 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 1154305837 NPPES
Florida MEDICAID 381-400900

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