Miedema, Brent W
Miedema, Brent W is an individual health care provider with primary practice located at 800 Hospital Dr # 617 , Columbia MO 65201-5275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miedema, Brent W can be contacted via phone (573) 814-6346.Contact Information
Primary practice address
800 Hospital Dr # 617
Columbia MO 65201-5275
Phone: (573) 814-6346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MDR7N00 | Missouri |
Profile Details
| NPI number | 1033160734 |
|---|---|
| LBN Legal business name | Miedema, Brent W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 19th, 2012 - about 13 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 | 1033160734 | NPPES |
| Missouri | Other | 20021458 | RR MEDICARE |
| Missouri | MEDICAID | 203229802 | RR MEDICARE |
Popular Providers
-
Koivunen, Debra Gail
1 Hospital Dr , Columbia MO 65212-0001 -
Miller, Marc L
115 Business Loop 70 W , Columbia MO 65203-3244 -
Grossmann, Erik Michael
One Hospital Dr , Columbia MO 65212-0001 -
Richardson, Norbert L
1 Hospital Dr , Columbia MO 65212-0001 -
Rogers, Jerry B
One Hospital Drive , Columbia MO 65212-0001 -
Adams, John Gramling
3220 Bluff Creek Dr Ste 100, Columbia MO 65201-3663 -
Richardson, Donna Therese
404 Keene St , Columbia MO 65201-6626 -
Markley, John Gregory
One Hospital Dr , Columbia MO 65212-0001