Breitzig, Laura D

Breitzig, Laura D is an individual health care provider with primary practice located at 3401 Berrywood Dr Ste 300 , Columbia MO 65201-6515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Breitzig, Laura D can be contacted via phone (573) 777-8330.

Contact Information

Primary practice address
3401 Berrywood Dr Ste 300 Columbia MO 65201-6515
Phone: (573) 777-8330
Fax: (573) 777-8390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9276676 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2018012105 Missouri

Profile Details

NPI number 1326438961
LBN Legal business name Breitzig, Laura D
Credentials MSN, FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2015
Last updated Mar 21st, 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 1326438961 NPPES
Missouri MEDICAID 420052833

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