Griesemer, Bernard A

Griesemer, Bernard A is an individual health care provider with primary practice located at 4331 S Fremont Ave , Springfield MO 65804-7328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Griesemer, Bernard A can be contacted via phone (417) 820-5000.

Contact Information

Primary practice address
4331 S Fremont Ave Springfield MO 65804-7328
Phone: (417) 820-5000
Fax: (417) 820-5025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R6866 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R6866 Missouri

Profile Details

NPI number 1750421640
LBN Legal business name Griesemer, Bernard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated May 13th, 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 1750421640 NPPES
Arkansas Other 82172 ARK BLUE SHIELD
Arkansas Other 13118 ARK BLUE SHIELD
Arkansas MEDICAID 200254837 ARK BLUE SHIELD

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