Niebruegge, David M

Niebruegge, David M is an individual health care provider with primary practice located at 615 S New Ballas Rd Dept Of Radiology, Saint Louis MO 63141-8221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Niebruegge, David M can be contacted via phone (314) 251-6031.

Contact Information

Primary practice address
615 S New Ballas Rd Dept Of Radiology Saint Louis MO 63141-8221
Phone: (314) 251-6031
Fax: (314) 251-6343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 2004010715 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2004010715 Missouri

Profile Details

NPI number 1497853857
LBN Legal business name Niebruegge, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 29th, 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 1497853857 NPPES
Missouri MEDICAID 202691200

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