Brischetto, Michael J
Brischetto, Michael J is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 483A, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Brischetto, Michael J can be contacted via phone (314) 251-4966.Contact Information
Primary practice address
621 S New Ballas Rd Suite 483A
Saint Louis MO 63141-8232
Phone: (314) 251-4966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | R3C38 | Missouri |
Profile Details
| NPI number | 1780656058 |
|---|---|
| LBN Legal business name | Brischetto, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780656058 | NPPES |
| Missouri | Other | 290014698 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 201863800 | RAILROAD MEDICARE |
| Missouri | Other | P00925264 | RAILROAD MEDICARE |
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