Brueggeman, Michael W

Brueggeman, Michael W is an individual health care provider with primary practice located at 700 West Forest, Ste 200 , Jackson TN 38301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brueggeman, Michael W can be contacted via phone (731) 541-9490.

Contact Information

Primary practice address
700 West Forest, Ste 200 Jackson TN 38301
Phone: (731) 541-9490
Fax: (731) 541-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 13742 Tennessee

Profile Details

NPI number 1174628903
LBN Legal business name Brueggeman, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 3rd, 2013 - about 11 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 1174628903 NPPES
Tennessee Other 0702090003 PALMETTO GBA DME
Tennessee Other 38955 PALMETTO GBA DME
Tennessee Other 4182440 PALMETTO GBA DME
Tennessee MEDICAID 3008329 PALMETTO GBA DME
Tennessee Other 130006552 PALMETTO GBA DME
Tennessee Other 0050209 PALMETTO GBA DME

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