Brizendine, John Brian
Brizendine, John Brian is an individual health care provider with primary practice located at 2305 South 65 Highway, Building A , Marshall MO 65340-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brizendine, John Brian can be contacted via phone (660) 886-6692.Contact Information
Primary practice address
2305 South 65 Highway, Building A
Marshall MO 65340-3702
Phone: (660) 886-6692
Fax: (660) 831-3355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | LL 25038 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2008033381 | Missouri |
Profile Details
| NPI number | 1457575813 |
|---|---|
| LBN Legal business name | Brizendine, John Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Aug 25th, 2021 - about 3 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 | 1457575813 | NPPES |
| Missouri | MEDICAID | 1457575813 |
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