Brzezienski, Mark A
Brzezienski, Mark A is an individual health care provider with primary practice located at 979 E 3Rd St Suite C920, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Brzezienski, Mark A can be contacted via phone (423) 756-7134.Contact Information
Primary practice address
979 E 3Rd St Suite C920
Chattanooga TN 37403-2136
Phone: (423) 756-7134
Fax: (423) 763-4571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 26787 | Tennessee |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 26787 | Tennessee |
Profile Details
| NPI number | 1487621926 |
|---|---|
| LBN Legal business name | Brzezienski, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jan 18th, 2008 - about 16 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 | 1487621926 | NPPES |
| Tennessee | Other | 3010836 | BCBS INSURANCE |
| Tennessee | Other | TN0109 | BCBS INSURANCE |
| Tennessee | MEDICAID | 000666487E | BCBS INSURANCE |
| Tennessee | MEDICAID | 00666487A | BCBS INSURANCE |
| Tennessee | Other | P00004138 | BCBS INSURANCE |
| Tennessee | Other | 2006636 | BCBS INSURANCE |
| Tennessee | Other | GA0103 | BCBS INSURANCE |
| Tennessee | Other | 1114640001 | BCBS INSURANCE |
| Tennessee | Other | 1300157 | BCBS INSURANCE |
| Tennessee | Other | 1348080 | BCBS INSURANCE |
| Tennessee | Other | 52577068004 | BCBS INSURANCE |
| Tennessee | Other | 04051010007 | BCBS INSURANCE |
| Tennessee | Other | 240004382 | BCBS INSURANCE |
| Tennessee | Other | PLF03906636 | BCBS INSURANCE |
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