Freiburghaus, Mary K

Freiburghaus, Mary K is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Freiburghaus, Mary K can be contacted via phone (573) 882-3818.

Contact Information

Primary practice address
One Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-3818
Fax: (573) 884-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 100579 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 100579 Missouri

Profile Details

NPI number 1740227479
LBN Legal business name Freiburghaus, Mary K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 13th, 2019 - about 5 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 1740227479 NPPES
Missouri Other 159754 BLUE SHIELD/BLUE CHOICE
Missouri MEDICAID 425869401 BLUE SHIELD/BLUE CHOICE
Missouri Other 484190 BLUE SHIELD/BLUE CHOICE

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