Brizendine, Paul Thomas
Brizendine, Paul Thomas is an individual health care provider with primary practice located at 2305 South 65 Highway , Marshall MO 65340-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brizendine, Paul Thomas can be contacted via phone (660) 886-7431.Contact Information
Primary practice address
2305 South 65 Highway
Marshall MO 65340-3702
Phone: (660) 886-7431
Fax: (660) 831-3314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15070 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 30161 | Missouri |
Profile Details
| NPI number | 1265411045 |
|---|---|
| LBN Legal business name | Brizendine, Paul Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| 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 | 1265411045 | NPPES |
| Ohio | MEDICAID | 0221281 | |
| Ohio | Other | 5490 | |
| Ohio | Other | 000000054153 | |
| Ohio | Other | 930049487 | |
| Ohio | MEDICAID | 0125834000 | |
| Ohio | MEDICAID | 64150709 |
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