Degenhardt, Brian

Degenhardt, Brian is an individual health care provider with primary practice located at 800 W Jefferson St , Kirksville MO 63501-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Degenhardt, Brian can be contacted via phone (660) 626-2304.

Contact Information

Primary practice address
800 W Jefferson St Kirksville MO 63501-1443
Phone: (660) 626-2304
Fax: (660) 626-2626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 41887 Colorado

Profile Details

NPI number 1700091782
LBN Legal business name Degenhardt, Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Aug 16th, 2016 - about 8 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 1700091782 NPPES
Missouri MEDICAID 1700091782

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